Clinical Reasoning: A young woman with symmetric weakness and behavioral disturbance.

@article{Rosenberg2018ClinicalRA,
  title={Clinical Reasoning: A young woman with symmetric weakness and behavioral disturbance.},
  author={Jon Rosenberg and Whitley W. Aamodt and Samuel Takvorian and Michael T. Mullen},
  journal={Neurology},
  year={2018},
  volume={90 16},
  pages={
          e1442-e1447
        }
}
A 19-year-old woman presented with altered mental status and progressive quadriparesis. One week prior to admission, she experienced headaches and behavior changes, including social withdrawal and a fixation on electronics. The day prior to admission, she developed weakness in both arms, and was unable to lift them above her head, followed shortly thereafter by proximal leg weakness and difficulty climbing stairs. The next day, she was intermittently unresponsive and unable to stand without… CONTINUE READING