Case 11-1962

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Abstract
Presentation of CaseA sixty-one-year-old Italian chef was referred to the hospital because of gangrene of the lower extremities.One month previously he was admitted to another hospital after suddenly collapsing at home. Physical examination revealed a moderately severe right hemiplegia and aphasia. The liver edge was palpable 4 fingerbreadths below the right costal margin. The cephalin flocculation was negative in forty-eight hours; the thymol turbidity was 6.75 units. A lumbar puncture yielded clear, acellular cerebrospinal fluid with an initial pressure of 180 mm.; the protein was 43 mg. per 100 ml. A left carotid arteriogram was normal. Anticoagulant therapy . . .

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