A Diabetic Man With Bilateral Arm Weakness
A 47-year-old left-handed diabetic man on oral antidiabetics developed pain in the right elbow down to the forearm. Two days later, he had numbness over the posterior aspect of the…
A Diabetic Woman With Unilateral Proximal Leg Weakness and Pain
A 70-year-old woman with type II diabetes managed with oral agents had a 3-week history of weakness in the left lower extremity which developed a week after gallbladder surgery. She…
A Man With Progressive Lower Extremity Weakness and Monoclonal Gammopathy
A 47-year-old man was evaluated for progressive ascending weakness in his lower extremities for 3–4 months becoming wheelchair bound within 4 months of onset of symptoms. He had mild paresthesias…
A Woman With a Neuropathy and Symptoms of a Central Nervous System Disease
A 34-year-old woman presented initially to another center with a 4-month history of numbness of the right hemibody which developed after a fall at work. Two months later, she developed…
A Man With Diabetic Polyneuropathy Who Developed Rapidly Progressive Weakness
A 53-year-old obese, insulin-dependent, hypertensive diabetic man presented initially with a diabetic polyneuropathy characterized by numbness and burning paresthesias in the feet. His examination at that time was remarkable only…
An Elderly Man With a Peripheral Neuropathy Like His Sister
A 70-year-old diabetic man was referred for weakness and numbness in the hand and feet. The patient limped due to quadricep muscle injury years before, while he was in the…
An Elderly Woman With Asymmetric Weakness and a Monoclonal Gammopathy
A 70-year-old woman was evaluated for a 1-year history of weakness and numbness that manifested initially in the legs and in the left hand and for the last 6 weeks…
A Man With Weakness in the Legs
A 36-year-old patient was referred for evaluation of progressive weakness in the legs and feet numbness for 4 years. Past medical history and family history were noncontributory. He did not…
An Elderly Woman With Frequent Falls and Abnormal MRI
An 87-year-old woman presented with a 4-year history of progressive leg weakness with incontinence and frequent falls. She also had nighttime spasms. The patient’s past history is unremarkable. She has…
A Woman With Progressive Four Limb Paresthesias
A 58-year-old woman was evaluated for progressive four limb paresthesias and difficulty with gait and balance. Six months before the evaluation, she noticed numbness, tingling, and burning sensations in both…
