A Young Man with a Fatal Encephalopathy. Issue 1 (1st February 2002)

• Record Type: Journal Article
• Authors: Al-Shahi, Rustam; Scolding, Neil J.; Bell, Jeanne E.; Zeman, Adam Z.; Warlow, Charles P.
• Is Part Of: Practical neurology. Volume 2:Issue 1(2002)
• Page Start: 26
• Page End: 35
• Publication Date: 2002-02-01
• Subjects: Neurology -- Periodicals; 616.8005
• DOI: 10.1046/j.1474-7766.2002.00304.x
• Languages: English
• ISSNs: 1474-7758

Abstract

Abstract : CASE PRESENTATION History In early 1999, a right-handed manufacturing engineer in his thirties presented to his general practitioner (GP) with a week-long history of diminished sensation and paraesthesiae affecting his left arm and leg. Two months prior to presentation he had contracted a 'flu-like illness that had left him with persistent fatigue. At presentation, his GP noticed weakness of his left hand and made a presumptive diagnosis of multiple sclerosis. He prescribed a five-day course of oral prednisolone 40 mg daily, which the patient took for only one day, making a transient improvement. The next day he had difficulty making decisions at work and was stopped by the police for speeding in a residential area. Two weeks after the onset of his neurological symptoms, he was admitted to a local hospital with confusion and then transferred to the Neurology department in Edinburgh the following day. Two years beforehand, in 1997