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A 41-year-old woman was admitted to the hospital because of neurologic abnormalities and an osteolytic lesion of the right mandible.
The patient had been in good health until three months earlier, when there was the onset of paresthesias in both lower legs, more noticeable in the left leg. During the next few weeks she began to experience severe burning pains in the legs. Evaluation at another hospital included x-ray films and a magnetic resonance imaging (MRI) scan of the lumbar spine, both of which were reported to be normal. A few weeks later, pain began in the right side of
Differential Diagnosis
Clinical Diagnosis
Dr. Thomas J. Lynch, Jr.'s Diagnosis
Pathological Discussion
Anatomical Diagnosis
References
Related Letters:
Case 27-1994: The Numb Chin Syndrome
Lossos A., Siegal T.
Extract |
Full Text
N Engl J Med 1994;
331:1460, Nov 24, 1994.
Correspondence
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