Case 38-2001

Presentation of CaseA 51-year-old woman was admitted to the hospital because of paresthesias, ataxic gait, and hallucinations.The patient had been well until 9 or 10 months earlier, when tingling and numbness developed in all her fingers, with weakness of her hands and a burning sensation in her feet. A tentative diagnosis of bilateral carpal tunnel syndrome was made, but no neurophysiological studies were undertaken. Six months before admission, “asthmatic bronchitis” developed, with a cough that became productive, accompanied by mild hemoptysis. At about the same time, she began to have difficulty finding words and remembering the names of . . .