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Quizzes and Polls

What Is Your Diagnosis?

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April 2014

An 87-year-old woman arrived at the emergency department after she fell at home, where she lived with a relative. The family noted that she had a 2-year history of mild dementia for which she had been prescribed donepezil hydrochloride and a 5-week history of progressive gait impairment requiring a cane and then a walker.

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What Is Your Diagnosis? is a quarterly online feature of JAMA Neurology edited by Lawrence S. Honig, MD, PhD, of Columbia University. A case history including an image will be presented followed by the request for your diagnosis from a list of 4-6 possible choices. The correct diagnosis will then be presented with a commentary as to why it is correct.

January 2014

A 69-year-old woman presented with several weeks of headache, neck pain, nausea, photophobia, and bilateral upper extremity tremor, was admitted to a hospital, and then developed over a day burning dysesthesias on the right torso and rapidly progressive right arm and right leg weakness.

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October 2013

A 55-year-old woman presented with a 2-week history of low-grade fever and holocephalic headache, which mostly resolved but were followed by a 2-week history of increasing dizziness, imbalance, and falls as well as gradual subtle mental confusion.

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July 2013

A 55-year-old woman presented with a 2-week history of low-grade fever and holocephalic headache, which mostly resolved but were followed by a 2-week history of increasing dizziness, imbalance, and falls as well as gradual subtle mental confusion.

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April 2013

A 65-year-old man presented to his local emergency department after noticing that he was staggering and had slurred speech for much of the day.

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January 2013

A 53-year-old man with diabetes mellitus, hypertension, coronary artery disease, prior myocardial infarction, and alcohol use presented with vertigo, ataxia, headaches, and panic attacks.

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October 2012

A 34-year-old man with no prior medical or neurological difficulties presented with a 4-month history of progressive behavioral change, short-term memory loss, fatigue, and weight loss.

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July 2012

An 83-year-old man presented with progressive increasing lethargy, gait impairment, imbalance, increased tremors, and urinary incontinence evolving over 2 months. Previously, he was fully functional and carrying out activities independently, although he had a minor tremor of the left fingers for 30 years and a mild shuffling gait for 4 years.

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April 2012

A 40-year-old right-handed man previously functioning well at a high-level occupation presented with a 2-year history of increasing drug and alcohol abuse leading to attendance at multiple rehabilitation programs, which, however, was unsuccessful.

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January 2012

An 84-year-old, right-handed, independent, community-dwelling woman with a history of hypertension, hyperlipidemia, angina, and asthma was in her usual good health until noted one afternoon by a neighbor to have slowness of conversation without other evident problems.

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October 2011

A 32-year-old right-handed man with a history of AIDS presented with a series of 3 generalized epileptic seizures, associated with lip laceration, incontinence, postictal sonorous breathing, and postictal lethargy.

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July 2011

A 55-year-old right-handed man with a history of quiescent seizure disorder presented with recurrent repetitive seizures.

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April 2011

A 60-year-old woman presented with a 10-year history of gradually deteriorating cognitive and then motor dysfunction.

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January 2011

A 71-year-old woman presented with a history of increasing memory problems for 4 months.

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