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Case Records of the Massachusetts General Hospital
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Volume 352:185-194 January 13, 2005 Number 2
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Case 1-2005 — A 35-Year-Old Woman with Difficulty Walking, Headache, and Nausea
Tracy T. Batchelor, M.D., Bradley R. Buchbinder, M.D., and Nancy Lee Harris, M.D.

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Presentation of Case

A 35-year-old woman was admitted to the emergency department because of difficulty walking, headache, and nausea.

Two weeks before admission, the patient had noticed that her gait had become increasingly unbalanced, so that she described herself as walking "like a drunk person." Bifrontal and occipital headache and neck pain developed over the next several days. These symptoms worsened, and nausea developed when she bent forward to put on her shoes. She did not experience dizziness or vomiting. Over the next week, her balance deteriorated and on one occasion she fell in the shower. Other people noticed that she tended to . . . [Full Text of this Article]

Differential Diagnosis

Pathological Discussion

Discussion of Management

Anatomical Diagnosis


Source Information

From the Departments of Neurology (T.T.B.), Radiology (B.R.B.), and Pathology (N.L.H.), Massachusetts General Hospital and Harvard Medical School.




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