Verity Ryan, Raynor Elizabeth, Zuflacht Jonah
Division of Neurology, University of Saskatchewan, Saskatoon, SK, Canada.
Department of Neurology, Beth Israel Deaconess Medical Center, Boston, MA, USA.
Neurohospitalist. 2025 Feb 24:19418744251324078. doi: 10.1177/19418744251324078.
Rapidly progressive neurologic symptoms can be alarming to both the patient and the clinician, given the concern for serious pathologies. In this case, a 67-year-old patient presents with painful sensorimotor symptoms that progress rapidly within days of onset. Proper localization and consideration of medical co-morbidities is essential for accurate diagnosis. This case highlights the importance of a detailed neurologic examination to aid in the localization and differential diagnosis. The case will take readers through a stepwise approach to this complex neurologic presentation, work-up and management.
快速进展的神经系统症状可能会让患者和临床医生都感到担忧，因为担心存在严重病变。在本病例中，一名67岁患者出现疼痛性感觉运动症状，起病数天内迅速进展。正确定位并考虑合并的内科疾病对于准确诊断至关重要。本病例强调了详细的神经系统检查对于辅助定位和鉴别诊断的重要性。该病例将引导读者逐步了解这种复杂的神经系统表现、检查及管理。
