BlumCase07-06 - Posterior ColumnMedial Lemniscal Pathway...

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CASE 7.6 BODY TINGLING AND UNSTEADY GAIT PATIENT PRESENTATION A 37-year-old woman complained of tingling and numbness of her arms, legs, and trunk. She also complained of clumsiness when walking and of decreased dexterity in her hands, and of an occasional brief electric sensation.
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KEY SYMPTOMS AND SIGNS Loss of vibration and joint position sense in the arms and legs bilaterally Clumsy, unsteady gait, with Romberg sign Decreased dexterity, and dysmetria of the hands especially with eyes closed Paresthesias: Diffuse tingling and numbness, Lhermitte's sign, and girdlelike band of hyperpathia around the abdomen CASE 7.6 Body Tingling and Unsteady Gait
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Unformatted text preview: Posterior ColumnMedial Lemniscal Pathway Paresthesias Localization of Gait Disorders Spinal Cord Lesions: Localization, Differential Diagnosis, and Treatment Common Symptoms and Signs in Chronic Multiple Sclerosis CASE 7.6 Body Tingling and Unsteady Gait CASE 7.6 Region of Hyperintensity in the Posterior Cervical Spinal Cord CASE 7.6 Body Tingling and Unsteady Gait FINAL DIAGNOSIS Posterior cord syndrome probably caused by myelitis (post-infectious vs. early multiple sclerosis) OUTCOME Work-up negative except for two oligoclonal bands in her CSF. Markedly improved within one week....
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This note was uploaded on 08/24/2011 for the course MED 605 taught by Professor Skeen during the Fall '09 term at University of Delaware.

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BlumCase07-06 - Posterior ColumnMedial Lemniscal Pathway...

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