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Previous Volume 347:1433-1440 October 31, 2002 Number 18 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 55-year-old right-handed man was admitted to the hospital because of difficulty with his handwriting and motor problems in his right leg.

The patient, who was a teacher, had been well until five months earlier, when he began to experience numbness and a sensation of "swelling" in the feet, without obvious edema, as if his shoes were too tight; this sensation persisted. Three days before admission, he noted subtle difficulty in steering his automobile. Later the same day, he found his handwriting to be awkward while he was grading his students' papers; his right foot felt "clumsy" on walking, and . . . [Full Text of this Article]

Differential Diagnosis

Bacterial Endocarditis

Fungal Infection

Mycobacterial Infection

Parasitic Infection

Neurocysticercosis

Other Causes of White-Matter Disease

Multiple Sclerosis and Acute Disseminated Encephalomyelitis

Clinical Diagnosis

Dr. Paula Ravin's Diagnosis

Pathological Discussion

Anatomical Diagnosis

This article has been cited by other articles:

• Miravalle, A., Roos, K. L. (2003). Encephalitis Complicating Smallpox Vaccination. Arch Neurol 60: 925-928 [Abstract] [Full Text]