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

被引:0
|
作者
Barbosa, Adriel Rego [1 ]
de Moraes, Marianna Pinheiro Moraes [1 ]
Silva, Thiago Yoshinaga Tonholo [1 ]
Pedroso, Jose Luiz [1 ]
Barsottini, Orlando Graziani Povoas [1 ]
机构
[1] Univ Fed Sao Paulo, Dept Neurol, Sao Paulo, Brazil
关键词
D O I
10.1212/WNL.0000000000209358
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
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.
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页数:6
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