Clinical reasoning: A 64-year-old woman with progressive quadriparesis. Transverse myelitis (TM).
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 24042577.
- Also identified by DOI 10.1212/WNL.0b013e3182a4a3f7 and PMC identifier 3795594.
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Abstract
A 64-year-old right-handed woman presented to an outside hospital with a 1-week history of weakness noted while walking. She reported bilateral weakness greater on the right, and several falls. She denied lower extremity numbness. Her medical history was significant for lower-back osteoarthritis and a 20 pack-year smoking history. She denied constitutional symptoms. Her examination on admission was notable for 4/5 right gastrocnemius strength and unsteady gait.
Medical subject headings
- Lung Neoplasms
- Myelitis, Transverse
- Quadriplegia
- Small Cell Lung Carcinoma