A 5-year-old boy with developmental delay, drooling of saliva, an inability to protrude the tongue, slurred speech, and multiple episodes of seizures since early childhood; history of perinatal asphyxia
Case of the Week Archive
Section Editors: Matylda Machnowska1 and Anvita Pauranik2
1University of Toronto, Toronto, Ontario, Canada
2University of British Columbia, Vancouver, British Columbia, Canada
A 44-year-old woman with acute left upper extremity paralysis and pain following 3 days of flulike symptoms
A 36-year-old woman with diplopia that resolved upon correction of hyperglycemia; 1 month later, she developed exophthalmos, chemosis, and blurred vision. On physical examination, she had ophthalmoplegia without vision loss.
A 2-year-old girl with a history of a 2-foot fall at night. The patient had difficulty standing the next morning, with paucity of movements of the right upper and lower limbs on examination.
A 24-year-old woman with a history of progressive spastic paraparesis since age 7; no history of bladder or bowel disturbances
A 68-year-old man who presented for a presyncopal episode followed by generalized weakness
A 32-year-old man with seizures and orofacial dystonic movements for 2 years. Peripheral blood smear showed acanthocytes.
A 65-year-old woman with poorly controlled diabetes presented with transient flashes of different colors lasting for a few seconds several times a day, followed by bilateral, symmetric, severe, irreversible cortical visual loss.