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

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

November 10, 2015

Editor's Note:
The Case Challenge series includes difficult-to-diagnose conditions, some of which are not frequently encountered by most clinicians but are nonetheless important to accurately recognize. Test your diagnostic and treatment skills using the following patient scenario and corresponding questions. If you have a case you would like to suggest for a future Case Challenge, please contact us.

Background

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.

References

1 2 3 4 5 6

Next Section

Cite this: Sumaira Nabi, Shahzad Ahmed, Muhammad Tariq. Limb Weakness and Vision Loss in a 30-Year-Old Man - Medscape - Nov 10, 2015.

Comments

Commenting is limited to medical professionals. To comment please Log-in.

Comments on Medscape are moderated and should be professional in tone and on topic. You must declare any conflicts of interest related to your comments and responses. Please see our Commenting Guide for further information. We reserve the right to remove posts at our sole discretion.