Introduction | Case 1 | Case 2 | Case 3 | Case 4 | Case 5 | Case 6 |


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Case 5.

A 60 year old dock worker was brought to the emergency room unconscious after collapsing while loading a truck.  After regaining consciousness, an examination was performed which revealed the following:

  1. paralysis of both right limbs;
  2. hypertonicity of both right limbs;
  3. increased deep tendon reflexes on the right side;
  4. dysarthria (speech disturbance);
  5. deviation of the tongue to the left when protruded;
  6. loss of position sense, pressure and two-point discriminative touch on the right side of the body.