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A 35-year-old right-handed man was admitted to the hospital because of a persistent headache and deviation of the tongue.
The patient had been in excellent health until about one month earlier, when a left-sided headache developed, with occasional bright spots in the left visual field, subjective fever, chilliness, and anorexia; he lost 5 kg of body weight at this time. The headache became severe and was not affected by nonsteroidal antiinflammatory agents, the patient's position, straining, or coughing. During this period, his tongue deviated to the left and caused drooling, although he had no dysphasia or dysphagia.
One week before
Differential Diagnosis
Disorders of Cranial Nerve XII
Diseases Affecting the Aorta and Its Major Branches
Giant-Cell Arteritis
Takayasu's Arteritis
Temporal Arteritis
Clinical Diagnosis
Dr. William F.C. Rigby's Diagnosis
Discussion
Anatomical Diagnosis
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