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Clinical Reasoning: A 64-year-old woman with progressive quadriparesis
Journal article   Open access   Peer reviewed

Clinical Reasoning: A 64-year-old woman with progressive quadriparesis

Abhijeet Gummadavelli, Joshua E Motelow and Nandakumar S Narayanan
Neurology, Vol.81(12), pp.e89-e94
09/17/2013
DOI: 10.1212/WNL.0b013e3182a4a3f7
PMCID: PMC3795594
PMID: 24042577
url
https://doi.org/10.1212/WNL.0b013e3182a4a3f7View
Published (Version of record) Open Access

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.
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