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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 333:992-1000 October 12, 1995 Number 15
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Case 31-1995— A 43-year-old man with multifocal neurologic problems and confusion
D.H. Lachance, and D.N. Louis

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Presentation of Case

A 43-year-old man was admitted to the hospital because of increasing leg pain and bladder and bowel incontinence, with confusion.

Sixteen years earlier the patient fell from a bicycle and began to have intermittent tingling of the left arm and leg. Five years before admission, while he was painting a porch, transient weakness developed on dorsiflexion of the left foot after prolonged squatting. The following month, pain developed in the left base of the neck, with intermittent tingling of the left hand and foot. A magnetic resonance imaging (MRI) examination of the cervical spine showed a moderate bulge of the . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnoses

Dr. Daniel H. Lachance's Diagnoses

Pathological Discussion

Anatomical Diagnosis

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