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A 72-year-old, right-handed man was admitted to the hospital because of recurrent neurologic symptoms.
The patient had been well until 10 days earlier, when he briefly had numbness of the right side of the mouth and tongue. That evening, he had slurred speech and a hyponasal quality in his speech for 30 minutes, and vertical diplopia later developed but soon cleared. The next morning, there was a brief recurrence of the vertical diplopia, followed by vertigo. Later that morning, transient diplopia again recurred, and the patient came to this hospital and was admitted.
The patient had undergone an apical lung
Differential Diagnosis
Vasculitis
Antiphospholipid-Antibody Syndrome
Giant-Cell Arteritis
Clinical Diagnosis
Dr. Michael Ronthal's Diagnosis
Pathological Discussion
Anatomical Diagnosis
Source Information
From the Department of Neurology, Beth Israel Deaconess Medical Center (M.R.); the Division of Neuroradiology (R.G.G.) and the Department of Pathology (R.N.S., M.P.F.), Massachusetts General Hospital; and the Departments of Neurology (M.R.), Radiology (R.G.G.), and Pathology (R.N.S., M.P.F.), Harvard Medical School — all in Boston.
Related Letters:
Case 21-2003: Permission for Postmortem Examination
Hauser J. M.
Extract |
Full Text |
PDF
N Engl J Med 2003;
349:1482-1483, Oct 9, 2003.
Correspondence
This article has been cited by other articles:
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