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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 347:1187-1194 October 10, 2002 Number 15
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Case 31-2002 — A 61-Year-Old Man with Headache and Multiple Infarcts
Martin A. Samuels, Mary Etta King, and Ulysses Balis

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Presentation of Case

A 61-year-old man was admitted to the hospital because of right hemiplegia, aphasia, and obtundation.

According to the patient's family, he had been well at his home in Haiti until about one month earlier, when pain developed in his right leg. Two days later, an ultrasonographic examination of the leg revealed no abnormalities, and a physician advised him to take aspirin. The pain resolved, but three weeks before admission, headache, nausea, and vomiting developed and shortly thereafter disappeared; two days later, the patient had a problem with balance. An ultrasonographic study of the liver raised the possibility of a tumor, . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. Martin A. Samuels's Diagnoses

Pathological Discussion

Anatomical Diagnosis


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