Book contents
- 55 Cases in Neurology
- 55 Cases in Neurology
- Copyright page
- Contents
- Preface
- Acknowledgements
- Section 1 Visual Disturbance
- Case 1 Weight Loss Effects on Vision and Limbs
- Case 2 Adult-Onset Visual Loss
- Case 3 A BEE of a Syndrome
- Case 4 Multiple Problems
- Case 5 Chasing Periorbital Nerves
- Case 6 High Pressure
- Case 7 Test Characteristic Limitations
- Case 8 Temporary Visual Failure
- Case 9 Chasing the Clot
- Section 2 Headache and Pain
- Section 3 Weakness
- 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 4 - Multiple Problems
from Section 1 - Visual Disturbance
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
- Case 1 Weight Loss Effects on Vision and Limbs
- Case 2 Adult-Onset Visual Loss
- Case 3 A BEE of a Syndrome
- Case 4 Multiple Problems
- Case 5 Chasing Periorbital Nerves
- Case 6 High Pressure
- Case 7 Test Characteristic Limitations
- Case 8 Temporary Visual Failure
- Case 9 Chasing the Clot
- Section 2 Headache and Pain
- Section 3 Weakness
- 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 23-year-old right-handed woman presented with a one-year history of unsteadiness and a six-month history of urinary and bowel urgency with incontinence. Four weeks before hospital admission, she also had a change in the vision from her right eye, only seeing the periphery of the visual field. Three weeks prior to hospital admission, she had right-hand numbness and weakness and was admitted to hospital when she developed left-leg weakness and numbness.
Information
- Type
- Chapter
- Information
- 55 Cases in NeurologyCase Histories and Patient Perspectives, pp. 19 - 28Publisher: Cambridge University PressPrint publication year: 2023
References
Lublin, FD, Reingold, SC, Cohen, JA et al. Defining the clinical course of multiple sclerosis. Neurology 2014;83(3):278–86.CrossRefGoogle ScholarPubMed
Lucchinetti, C, Bruck, W, Parisi, J, Scheithauer, B, Rodriguez, M, Lassmann, H. Heterogeneity of multiple sclerosis lesions: implications for the pathogenesis of demyelination. Ann Neurol. 2000;47(6):707–17.Google Scholar
Thompson, AJ, Banwell, BL, Barkhof, F et al. Diagnosis of multiple sclerosis: 2017 revisions of the McDonald criteria. Lancet Neurol. 2018;17(2):162–73.Google ScholarPubMed
Institute of Medicine. Improving Diagnosis in Health Care. Washington, DC: National Academies of Sciences, Engineering, and Medicine, 2015 (http://iom.nationalacadmies.org/Reports/2015/Improving-Diagnosis-in-Healthcare.aspx), page 2.Google Scholar
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