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Six days after he was found on the floor with altered consciousness, a 51-year-old man went to see his physician. The episode was associated with emesis and fecal incontinence. The patient reported feeling confused for approximately 30 minutes after the incident. He also had severe weakness in both legs and was unable to walk for 24 hours.Altered consciousness associated with incontinence and transient confusion is most suggestive of a seizure. However, persistent weakness of the legs is unusual after a seizure and raises other diagnostic possibilities. Ischemia in the posterior circulation can produce weakness of the legs . . .
Morton-Bours et al. (Thu,) studied this question.
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