Clinical Reasoning: A 35-year-old woman with diplopia, ataxia, and altered mental status
نویسندگان
چکیده
منابع مشابه
Clinical Reasoning: A 73-year-old man with diplopia and ataxia.
SECTION 1 A 73-year-old right-handed man with a history of hypertension and hyperlipidemia presented with an 18-month history of diplopia and unsteady gait. He also noted oscillating vision when turning his head to the left. The diplopia was horizontal and was worse looking at objects on his right or at a distance. Over a year, his balance worsened to the point where he required a walker due to...
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Sashank Prasad, MD Nicholas J. Volpe, MD Madhura A. Tamhankar, MD SECTION 1 A 36-year-old man with Von Hippel-Lindau syndrome presented with binocular vertical diplopia following suboccipital craniotomy for resection of a cerebellar hemangioblastoma. His diplopia was worse in left gaze. He was effectively treated with a 6-diopter base-down prism in the right eye. With-out spontaneous improvemen...
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Marie Carl Eugene, DO Daniel Kitei, DO David Silvers, MD SECTION 1 A 75-year-old woman presented in July 2007 with 2 months of oscillopsia when looking downward and horizontal diplopia during rapid rightward gaze. She reported 3 weeks of progressive clumsiness of the right limbs, weakness of the right leg, and an unsteady gait. She denied cognitive dysfunction, headache, bulbar or sensory sympt...
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SECTION 1 A previously healthy 35-year-old Sudanese woman was admitted with new-onset right hemispheric seizures with secondary generalization. The patient’s vital signs were temperature 100.2°F, blood pressure 133/96 mm Hg, pulse 83 beats per minute, respirations 18 per minute, and oxygen saturation 100% on room air. Additionally, a complete neurologic examination was within normal limits. She...
متن کاملA 16-Year-Old Girl With Altered Mental Status, Abducens Nerve Palsy, and Ataxia.
A 16 year-old girl presented with altered mental status. The patient and her mother reported that she was in her normal state of health until the morning of admission, when she began to complain of dizziness and double vision. Her mother stated that she appeared “wobbly” when ambulating and noted that while sitting, she had slumped over in the chair at the hair salon earlier that day. She denie...
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ژورنال
عنوان ژورنال: Neurology
سال: 2018
ISSN: 0028-3878,1526-632X
DOI: 10.1212/wnl.0000000000006499