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- W2501358047 abstract "This chapter reviews a medical case of an evolving paraparesis. A 48-year-old woman presented with a short history of difficulty in walking and a tendency to trip over on the left leg. She had been unwell for 3 months during which time she had fallen twice, catching her toes on a kerbstone. There was no pain, but gradually, her walking deteriorated and her friends noticed that she was unsteady. She had developed mild urgency and frequency of micturition. Two months previously, she had, for the first time, experienced tingling in the fingers of the left hand. She had seen her general practitioner at the age of 21 because of an episode of pain and visual impairment in the left eye, lasting 8 weeks; she had been told that this was because of neuritis. There was no other past medical or family history. The combination of an evolving paraparesis and history of an episode of visual loss thought to be because of optic neuritis is highly suggestive of demyelinating disease. The ataxia may be attributable to cerebellar lesions but could also be because of disease in the cerebellar connections of the spinal cord." @default.
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- W2501358047 date "1988-01-01" @default.
- W2501358047 modified "2023-10-16" @default.
- W2501358047 title "An evolving paraparesis" @default.
- W2501358047 doi "https://doi.org/10.1016/b978-0-407-00544-0.50007-4" @default.
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