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A correction has been published: N Engl J Med 1998;338(1):71.

Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 337:115-122 July 10, 1997 Number 2
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Case 21-1997— A 67-Year-Old Woman with a Progressive Movement Disorder and a Left-Upper-Quadrant Mass
Joseph P. Eder, and Phuong L. Nguyen

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Presentation of Case

A 67-year-old woman was admitted to the hospital because of a progressive choreiform disorder.

The patient had been well until 13 months earlier, when she became dizzy and restless, had difficulty grasping things, and had to hold on to objects to maintain her balance while walking. Ten months before admission, dysphagia developed. The results of an evaluation performed elsewhere, including a lumbar puncture, computed tomographic (CT) scanning, magnetic resonance imaging (MRI), and an MRI angiographic examination of the brain, were normal.

One month later, she was admitted to another hospital, where a nodule was found in the lower lobe of . . . [Full Text of this Article]

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Dr. Joseph Paul Eder's Diagnosis

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Professionalism
Needham C. W., Granat P.
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N Engl J Med 1998; 338:66, Jan 1, 1998. Correspondence

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