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A correction has been published: N Engl J Med 2001;344(18):1408.

Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 344:832-839 March 15, 2001 Number 11
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Case 8-2001— A 61-Year-Old Man with Transient Quadriplegia and Apnea
Eric T. Wong, and David N. Louis

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Presentation of Case

A 61-year-old man was admitted to the hospital because of transient quadriplegia and apnea.

The patient had been well until the morning of admission, when stiffness and pain developed in his neck after he turned his head. The pain was followed by numbness and "electric" sensations in his arms and legs. Within 10 minutes, his arms and legs became paralyzed, and he was unable to speak. Emergency medical technicians found him apneic, pulseless, and unresponsive. Cardiopulmonary resuscitation was successful after one minute. On arrival at a nearby hospital, he was able to move his arms and legs. He had been . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. Eric T. Wong's Diagnosis

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