FREE NEJM E-TOC    HOME   |   SUBSCRIBE   |   CURRENT ISSUE   |   PAST ISSUES   |   COLLECTIONS   |   Search Term  Advanced Search

Sign in | Get NEJM's E-Mail Table of Contents — Free | Subscribe

Previous Volume 346:1009-1015 March 28, 2002 Number 13 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.

	Full Text PDF PDA Full Text Purchase this article Add to Personal Archive Add to Citation Manager Notify a Friend E-mail When Cited Related Article PubMed Citation

Presentation of Case

First Admission

A 52-year-old right-handed woman was admitted to the neurologic clinic because of ataxia and fatigue.

The patient had been well until four months earlier, when she had had a "sinus infection" characterized by green nasal discharge. Radiographs of the paranasal sinuses were reported to be unremarkable. At about the same time, while she was performing aerobic exercises, there was a sudden sensation of "tilting," without diplopia; on walking shortly thereafter, she felt that she was veering to the left. She had an accompanying band of pain around the top of her head.

These symptoms persisted, and one week later she . . . [Full Text of this Article]

Subsequent Evaluation

Second Admission

Differential Diagnosis

Clinical Diagnosis

Dr. Lloyd M. Alderson's Diagnosis

Pathological Discussion

Anatomical Diagnosis

HOME  |  SUBSCRIBE  |  SEARCH  |  CURRENT ISSUE  |  PAST ISSUES  |  COLLECTIONS  |  PRIVACY  |  TERMS OF USE  |  HELP  |  beta.nejm.org Comments and questions? Please contact us. The New England Journal of Medicine is owned, published, and copyrighted © 2009 Massachusetts Medical Society. All rights reserved.