Chapter

Case 8

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: http://dx.doi.org/10.1093/med/9780192631626.003.0008

Series: Oxford Case Histories

Case 8

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A 38-year-old man presented to the emergency department complaining of unsteadiness and dizziness and a fall in which he suffered a minor head injury with no loss of consciousness. No abnormality was found on examination and a skull X-ray was unremarkable. He re-presented 1 week later with a further minor head injury without loss of consciousness and reported ongoing unsteadiness and dizziness, difficulty walking and blurred vision, and was admitted to hospital. He worked as a chemistry laboratory technician and occupied an office containing discarded experimental equipment. Past medical history included investigation for diarrhoea and possible malabsorbtion (for which he had been put on a gluten-free diet). Examination revealed symmetrical incoordination consistent with cerebellar dysfunction and bilateral nystagmus on lateral gaze.

Chapter.  1362 words. 

Subjects: Neurology

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