Case 34-2002: A 55-Year-Old Man with Cognitive and Sensorimotor Findings and Intracranial Lesions

Presentation of Case A 55-year-old right-handed man was admitted to the hospital because of difficulty with his handwriting and motor problems in his right leg. The patient, who was a teacher, had been well until five months earlier, when he began to experience numbness and a sensation of “swelling” in the feet, without obvious edema, as if his shoes were too tight; this sensation persisted. Three days before admission, he noted subtle difficulty in steering his automobile. Later the same day, he found his handwriting to be awkward while he was grading his students' papers; his right foot felt “clumsy” . . .