Article Text

PDF

Confusion and Ataxia in a Middle Age Woman: A Case with Four Diagnoses Discussed at the Edinburgh Advanced Clinical Neurology Course in 2001
  1. Anna Williams*,
  2. Geraint Fuller,
  3. Jeanne E. Bell,
  4. Charles P. Warlow*
  1. *Department of Clinical Neurosciences, Western General Hospital, Crewe Road, Edinburgh, UK;
  2. Gloucestershire Royal Hospital, Gloucester, UK,
  3. Department of Neuropathology, Western General Hospital, Crewe Road, Edinburgh, UK; Email: acw{at}skull.dcn.ed.ac.uk

    Abstract

    THE CLINICAL STORY

    In April 2000, a lady in her early fifties presented with a two-week history of gradually increasing confusion, poor memory, an unsteady gait, and intermittent nausea and vomiting. On the day of consultation, she also developed a mild occipital headache. In 1980, she had been diagnosed with breast cancer (T1N0M0) for which she had had a right mastectomy and radiotherapy. She had been intermittently treated for depression and pain in the right arm since then. She was taking regular paroxetine and amitriptyline, bendrofluazide for lymphoedema, and hormone replacement therapy. She was an ex-smoker of 10 years, and drank four units of alcohol a day. She lived with her husband. Family history was unremarkable. She was admitted to a local hospital, and transferred to the neurology department in Edinburgh four days later on the 28 April 2000.

    EXAMINATION

    She was agitated and confused, being orientated in time only.

    Statistics from Altmetric.com

    Request permissions

    If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.