Case 2-1984

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Abstract
Presentation of CaseA 47-year-old man was admitted to the hospital because of right hemiplegia.He was well until 19 years earlier, when diplopia developed. During the next two years the diplopia waxed and waned, and he complained on several occasions of vertigo accompanied by vomiting. Physical examination showed a Grade 2 apical systolic murmur. Several neurologic consultants observed diplopia and varying visual-field abnormalities, enlargement of the left pupil although both pupils were reactive, weakness of the right medial rectus muscle, variable nystagmus, dysmetria and dysdiadochokinesis, inconstant sensory abnormalities in the lower extremities, and intermittently present Babinski signs. Repeated lumbar . . .

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