A Basketball Player With Acute Hand Weakness

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A Basketball Player With Acute Hand Weakness - Page #3

Lab Studies: CBC, CMP, B12, TSH, Magnesium, Syphilis, HIV, Hepatitis, inflammatory markers were all within normal limits. ANA was found to be positive while dsDNA was negative. Other Studies: A Brain MRI revealed Multiple T2 FLAIR hyperintense lesions in bilateral periventricular regions and callosal septal interface with one showing incomplete ring enhancement favored to be demyelinating disease with tumefactive lesion. Case Photo #1 A cervical and thoracic MRI had no evidence of signal abnormality or pathologic enhancement of the cervical/thoracic cord. There was no significant central canal or neuroforaminal stenosis. Xrays of left upper extremity and left knee demonstrated no fracture and preserved joint spaces. A Cerebrospinal fluid (CSF) analysis was performed with Oligoclonal Bands at 10, with normal being considered less than 2. Consultations: A neurology consult was placed and they obtained the cervical and thoracic MRI in addition to performing a lumbar puncture. Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.		Back
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