Book contents
- 55 Cases in Neurology
- 55 Cases in Neurology
- Copyright page
- Contents
- Preface
- Acknowledgements
- Section 1 Visual Disturbance
- Section 2 Headache and Pain
- Section 3 Weakness
- Case 19 Bleeding Brain
- Case 20 A Battery Issue
- Case 21 Symptoms Took Years to Develop
- Case 22 High-Frequency Improvement
- Case 23 Singling Out Dermatomes
- Case 24 Asthmatic Neurology
- Case 25 Neurological Consequences of Infection
- Case 26 When Speech and Swallow Fail
- Case 27 Recurrent Weakness
- Case 28 Increasing Golfing Handicap
- Section 4 Behavioural and Language Changes
- Section 5 Confusion
- Section 6 Movement Disturbances
- Section 7 Acute Onset of Neurological Symptoms
- Index
- Plate Section (PDF Only)
- References
Case 20 - A Battery Issue
from Section 3 - Weakness
Published online by Cambridge University Press: 27 July 2023
Book contents
- 55 Cases in Neurology
- 55 Cases in Neurology
- Copyright page
- Contents
- Preface
- Acknowledgements
- Section 1 Visual Disturbance
- Section 2 Headache and Pain
- Section 3 Weakness
- Case 19 Bleeding Brain
- Case 20 A Battery Issue
- Case 21 Symptoms Took Years to Develop
- Case 22 High-Frequency Improvement
- Case 23 Singling Out Dermatomes
- Case 24 Asthmatic Neurology
- Case 25 Neurological Consequences of Infection
- Case 26 When Speech and Swallow Fail
- Case 27 Recurrent Weakness
- Case 28 Increasing Golfing Handicap
- Section 4 Behavioural and Language Changes
- Section 5 Confusion
- Section 6 Movement Disturbances
- Section 7 Acute Onset of Neurological Symptoms
- Index
- Plate Section (PDF Only)
- References
Summary
A 29-year-old woman was told by her optician that she had droopy eyelids. She had difficulty looking in both horizontal and vertical planes, but she had not been fully aware of the difficulty. There was also a history of longstanding constipation with her bowels opening once every two or three days. She had early satiety, poor appetite and marked fatigue. The optician had noted ptosis and ophthalmoplegia from at least the age of 18 years. At primary school she was a poor runner but could cycle.
Information
- Type
- Chapter
- Information
- 55 Cases in NeurologyCase Histories and Patient Perspectives, pp. 131 - 136Publisher: Cambridge University PressPrint publication year: 2023
References
Fratter, C, Raman, P, Alston, CL et al. RRM2B mutations are frequent in familial PEO with multiple mtDNA deletions. Neurology. 2011;76(23):2032–4.CrossRefGoogle ScholarPubMed
McClelland, C, Manousakis, G, Lee, MS. Progressive external ophthalmoplegia. Curr Neurol Neurosci Rep. 2016;16:53.CrossRefGoogle ScholarPubMed
Gorman, GS, Schaefer, AM, Ng, Y et al. Prevalence of nuclear and mitochondrial DNA mutations related to adult mitochondrial disease. Ann Neurol. 2015;77(5):753–9.CrossRefGoogle ScholarPubMed
Pitceathly, RDS, Smith, C, Fratter, C et al. Adults with RRM2B-related mitochondrial disease have distinct clinical and molecular characteristics. Brain. 2012;135(11):3392–403.CrossRefGoogle ScholarPubMed
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