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Clinical Reasoning: A 24-Year-Old Man With Gait Impairment, Hearing Loss, and Recurrent Fever.

Authors :
Rêgo Barbosa A
de Moraes MPM
Silva TYT
Pedroso JL
Barsottini OGP
Source :
Neurology [Neurology] 2024 May 14; Vol. 102 (9), pp. e209358. Date of Electronic Publication: 2024 Apr 09.
Publication Year :
2024

Abstract

We present a case study of a 24-year-old man who reported mild balance and walking difficulties for 2 years. He had a history of recurrent fever, skin lesions, headache, and elbow pain, but most of these events resolved spontaneously. There was no significant family history. On examination, we observed frontal bossing, sensorineural hearing loss, and gait ataxia. This case underscores the significance of identifying clinical indicators in patients with neurologic symptoms, particularly recurrent fever, to establish a precise and thorough differential diagnosis.

Details

Language :
English
ISSN :
1526-632X
Volume :
102
Issue :
9
Database :
MEDLINE
Journal :
Neurology
Publication Type :
Academic Journal
Accession number :
38593395
Full Text :
https://doi.org/10.1212/WNL.0000000000209358