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A difficult case |
1 Professor & Head, Department of Neurology, Bombay Hospital Institute of Medical Sciences, Mumbai, India
2 Associate Professor, Department of Neurology, Bombay Hospital Institute of Medical Sciences, Mumbai, India
Correspondence to:
Correspondence to:
Dr B S Singhal, Medical Research Center, Bombay Hospital, 12 Marine Lines, Mumbai 400 020, India;
bssingl@vsnl.com
| The first 150 words of the full text of this article appear below. |
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Too often mistakes are made because the eye cannot see what the mind does not know. But errors also occur when undue importance is attached to incidental findings which have no clinical significance.
THE PATIENT
This woman was born in Hyderabad, Pakistan in 1937, and had lived in Mumbai, India since 1981. In October 1984 she was found to be anaemic due to menorrhagia, and she had fainted in an elevator, fracturing her left ankle. During her hospital stay, she was given a blood transfusion for her anaemia. No operation was performed. Three months later, she developed jaundice due to hepatitis B infection. In June 1985, she experienced progressive difficulty in walking with aching in her legs. She also complained of involuntary jerking of both lower limbs occasionally during the day, and waking her at night.
NEUROLOGICAL EXAMINATION
When she was first examined by a neurologist in mid 1985, she had a spastic paraparesis.
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