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Postgraduate Medical Journal 2003;79:355-356
© 2003 Fellowship of Postgraduate Medicine


SELF ASSESSMENT QUESTION

Neurology

A man with numbness and limb weakness

N K Sharma 1, T S Jaswal 2, S Singh 2, N Marwah 2, H Singh 3, M Singh 3

1 Department of Neurosurgery, Pt B D Sharma Postgraduate Institute of Medical Sciences, Rohtak (Haryana), India
2 Department of Pathology
3 Department of Medicine

Correspondence to:
Correspondence to:
Dr Sunita Singh, 881/23, DLF Colony, Rohtak-124001 (Haryana), India;
hps1@vsnl.net

Submitted 11 June 2002
Accepted 25 November 2002


Answers on p 359.

Keywords: spinal intramedullary cysticercosis

The first 150 words of the full text of this article appear below.

A 45 year old man presented to the neurology clinic with a history of numbness for the previous two months followed by weakness for one month of all four limbs. The weakness involved the left upper limb followed by left lower limb, right lower limb, and right upper limb in that order. There was also a history of hesitancy in voiding urine. There was no history of trauma, fever, seizures, abnormal involuntary movement, or symptoms of increased intracranial tension. Examination revealed no abnormality of the cardiovascular, respiratory, or gastroenterological systems. Neurological examination showed normal higher function and no abnormality of cranial nerves. Motor system examination revealed atrophy of small muscles of the hand in the left upper limb, tone was increased in all four limbs, while power was more decreased in the lower limbs (grade III) when compared with the upper limbs (grade IV). Sensory system examination revealed a . . . [Full text of this article]


Relevant Article

A man with numbness and limb weakness
Postgrad. Med. J. 2003 79: 359. [Extract] [Full Text] [PDF]






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