Case report of a 75-year-old man presenting with a 35-year history of progressive hemiparesis.
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Alerts clinicians to rare chronic hemiparesis etiologies; hypothesis-generating case that leaves open diagnostic and prognostic questions.
A 75-year-old, right-handed, married, retired dockyard electrical engineer presented in 2005 with a 35-year history of progressive right leg weakness, such that he was finding walking difficult. Over the 10 years before presentation, he had also developed right hand weakness, with loss of feeling in the right ring and little fingers. He had difficulty writing, using cutlery, washing and dressing. Aside from approximately 10 kg of weight loss over several months there were no other symptoms; in particular, there were no bulbar, cognitive or autonomic symptoms and no neck pain.
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Fernandes et al. (2014) studied this question.
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