A 59-year-old woman with a history of right breast large B-cell lymphoma previously treated with chemotherapy and radiotherapy; 1 year after therapy, the patient experienced onset of paresis and paresthesia in the right upper limb, which 1 month later progressed to pain and paresis in the lower limbs.
Case of the Month Archive
Section Editor: Nicholas Stence, MD
Children's Hospital Colorado, Aurora, CO
A 22-year-old woman with a 4-month history of involuntary movements of the right upper and lower limbs
A 22-year-old man was injured in a car crash. At the scene of the crash, the patient was conscious without any focal neurologic deficits. The patient progressively deteriorated neurologically to a GCS of E2V1M4. However, no focal deficit was present.
A 17-year-old girl with PMH presented to a family doctor with 1 year of dorsal and lumbosacral pain, with increased intensity in the past 3 months and poor response to various pain medications, associated with diminished upper limb strength.
A 53-year-old man with a past medical history of ischemic cerebral vascular accident, hypertension, and hyperlipidemia presented with worsening dysarthria. Stroke code was called upon initial evaluation. Patient reported a distant history of sarcoid approximately 10 years ago, although he had never undergone treatment for sarcoidosis.
A 55-year-old male patient with gradually progressive shortness of breath seeks medical attention. Relevant personal antecedents include a known diagnosis of type I neurofibromatosis, difficulty walking, depression, and scoliosis surgery at 13 years old.
A 45-year-old woman from the Philippines with a previous episode of hospitalization due to headache, ptosis, and miosis of the right eye, who admits to not having completed treatment, seeks new medical care in our hospital due to back pain.
A 36-year-old man with painless, progressive, bilaterally symmetric lower limb weakness over 10 days and urinary retention for 7 days; associated symptoms of low-grade fever, mild headaches, and significant weight loss over the last few months
A 68-year-old woman presented to the emergency department after a family member checked on the patient and found her in unlivable home conditions. Once she arrived at the emergency department, the patient had no acute complaints, but had a large, masslike open wound that covered the upper half of the patient's face/forehead with noted infestation of maggots on the infected skin.
A previously healthy 32-year-old woman with a 3.5-week history of left-sided temporal headache, reduced vision in the left eye, and left-sided ptosis