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Journal of the Louisiana State Medical Society : official organ of the Louisiana State Medical Society, The

Radiology Case of the Month: A Case with Relapsing Episodes of Weakness and Seizures.

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Prihlásiť Registrácia
Odkaz sa uloží do schránky
David Liu
Juan S Gomez
Enrique Palacios
Jeremy B Nguyen
Harold R Neitzschman

Kľúčové slová

Abstrakt

A 23-year-old man presented to the clinic with a oneweek history of left upper and lower extremity numbness, starting in his left hand and progressing to his left foot. He then experienced intermittent difficulty walking and left-sided drooling. The patient also reported having a left arm abscess one week earlier, for which he received penicillin and oxycodone and acetaminophen. He denied any weakness, seizure, headache, fever, nausea, vomiting, or focal neurological deficit, as well as any recent history of immunization or upper respiratory infection symptoms. During the initial visit, magnetic resonance images were obtained. Over the course of the next year, the patient presented to the hospital six times for additional symptoms including weakness, slurred speech, and seizures. During this period, brain biopsy, serology tests, and MR spectroscopy were performed confirming the initial diagnosis. Moreover, multiple MR images were performed showing progression and relapsing.

UNASSIGNED

Multiphasic Acute Disseminated Encephalomyelitis.

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