Limb Weakness and Vision Loss in a 30-Year-Old Man

Sumaira Nabi, MBBS; Shahzad Ahmed, MBBS; Muhammad Tariq, MBBS, FRCP


November 10, 2015

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A 30-year-old man presents with a 2-month history of acute weakness in all extremities associated with paresthesia and dysesthesia. One week ago, he suffered vision loss in the right eye and mild ocular pain. Three days before presenting to the hospital, he developed bladder dysfunction.

No history of fever, headache, altered sensorium, seizures, or difficulty speaking or swallowing is noted. He has no history of limb weakness, ataxia, or sensory symptoms. He also denies any antecedent diarrheal or coryzal illness. He is a driver by occupation, is married with two children, and belongs to a lower socioeconomic group. The patient is a nonsmoker and denies substance abuse and is not taking any medications on a regular basis. The family history is unremarkable as well.


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