Case 6

Sarah T Pendlebury, Philip Anslow and Peter M Rothwell

in Neurological Case Histories

Published on behalf of Oxford University Press

Published in print February 2007 | ISBN: 9780192631626
Published online November 2012 | e-ISBN: 9780191753121 | DOI:

Series: Oxford Case Histories

Case 6

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An 80-year-old man was seen in the outpatient clinic with a 6-week history of falls and reduced mobility together with tingling in the feet, such that he was needing help to transfer and walk. He experienced mild pain in his hips and shoulders after trying to mobilize and said that his muscles ‘felt stiff.’ His wife reported that his memory had begun to deteriorate over the past year or so. There was a complicated past medical history including hypertension, which had proved difficult to control, ischaemic stroke, from which he had made a good recovery, and oesophageal cancer 5 years previously. He had also been admitted to the renal unit 7 months earlier with renal failure secondary to acute pyelonephritis and dehydration. His renal function had returned to normal on discharge. He was taking aspirin and antihypertensive medication (not b blockers). He lived with his wife and was an ex-smoker and drank moderate amounts of alcohol per week.

Chapter.  1847 words. 

Subjects: Neurology

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