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Previous Volume 345:1758-1765 December 13, 2001 Number 24 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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Presentation of Case

A 51-year-old woman was admitted to the hospital because of paresthesias, ataxic gait, and hallucinations.

The patient had been well until 9 or 10 months earlier, when tingling and numbness developed in all her fingers, with weakness of her hands and a burning sensation in her feet. A tentative diagnosis of bilateral carpal tunnel syndrome was made, but no neurophysiological studies were undertaken. Six months before admission, "asthmatic bronchitis" developed, with a cough that became productive, accompanied by mild hemoptysis. At about the same time, she began to have difficulty finding words and remembering the names of family members.

Five . . . [Full Text of this Article]

Differential Diagnosis

Peripheral Neuropathy and Malignant Tumors

Sensory Neuronopathies

Clinical Diagnoses

Dr. Anthony A. Amato's Diagnosis

Pathological Discussion

Anatomical Diagnoses

References

This article has been cited by other articles:

• Amato, A. A., Oaklander, A. L. (2004). Case 16-2004 - A 76-Year-Old Woman with Numbness and Pain in the Feet and Legs. NEJM 350: 2181-2189 [Full Text]  
• Lauria, G., Pareyson, D., Sghirlanzoni, A., Amato, A. A. (2002). Case 38-2001: Paraneoplastic Encephalomyelitis and Sensory Ganglioneuropathy. NEJM 346: 1029-1030 [Full Text]