Case 35-1998

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Abstract
Presentation of CaseA 54-year-old, left-handed woman was admitted to the hospital because of pain and paresthesias in the legs and a gait disturbance.The patient had been well until eight weeks earlier, when she had pain in the soles of her feet and rectal paresthesias and numbness. During the next several weeks, painful paresthesias and dysesthesias slowly worsened as they extended to the legs and buttocks and perianal region; the gait became increasingly impaired. During the two weeks before admission, the patient had daily frontal and occipital headaches with nausea and photophobia. The results of a magnetic resonance imaging . . .

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