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A man with left-sided weakness and numbness
  1. Galina Gheihman1,2,
  2. Xavier Guell Paradis1,2,
  3. Mary A O’Neal1
  1. 1 Department of Neurology, Brigham and Women’s Hospital, Boston, Massachusetts, USA
  2. 2 Department of Neurology, Massachusetts General Hospital, Boston, Massachusetts, USA
  1. Correspondence to Dr Galina Gheihman, Department of Neurology, Brigham and Women’s Hospital, 75 Francis Street, Boston, MA 02115, USA; ggheihman{at}partners.org

https://doi.org/10.1136/emermed-2022-212837

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    Clinical introduction

    A 63-year-old right-handed man presented for evaluation of left leg stiffness and sensory change. He had a medical history of remote prostate cancer (status post resection in 2011). The patient reported that one week prior, he began noticing left leg stiffness and numbness, as well as left hand weakness and discoordination. He went to see his internist where he had a fall while the physician was testing his gait. He was sent to the emergency room (figure 1). He denied episodes of loss of consciousness, shaking, or headaches. He had no recent weight loss, night sweats, or previous falls.

    Figure 1

    Photo of the patient’s face at the time of …

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    Footnotes

    • Collaborators N/a.

    • Contributors GG participated in the clinical care of this patient and drafted, revised and gave final approval of the manuscript. XGP participated in the clinical care of this patient and drafted, revised and gave final approval of the manuscript. MAO participated in the clinical care of this patient and drafted, revised and gave final approval of the manuscript.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; internally peer reviewed.