PT  - JOURNAL ARTICLE
AU  - Rustam Al-Shahi
AU  - Neil J. Scolding
AU  - Jeanne E. Bell
AU  - Adam Z. Zeman
AU  - Charles P. Warlow
TI  - A Young Man with a Fatal Encephalopathy
AID  - 10.1046/j.1474-7766.2002.00304.x
DP  - 2002 Feb 01
TA  - Practical Neurology
PG  - 26--35
VI  - 2
IP  - 1
4099  - http://pn.bmj.com/content/2/1/26.short
4100  - http://pn.bmj.com/content/2/1/26.full
SO  - Pract Neurol2002 Feb 01; 2
AB  - CASE PRESENTATION History In early 1999, a right-handed manufacturing engineer in his thirties presented to his general practitioner (GP) with a week-long history of diminished sensation and paraesthesiae affecting his left arm and leg. Two months prior to presentation he had contracted a ‘flu-like illness that had left him with persistent fatigue. At presentation, his GP noticed weakness of his left hand and made a presumptive diagnosis of multiple sclerosis. He prescribed a five-day course of oral prednisolone 40 mg daily, which the patient took for only one day, making a transient improvement. The next day he had difficulty making decisions at work and was stopped by the police for speeding in a residential area. Two weeks after the onset of his neurological symptoms, he was admitted to a local hospital with confusion and then transferred to the Neurology department in Edinburgh the following day.Two years beforehand, in 1997