Thursday, March 29, 2012
The patient is admitted to the hospital. Due to the fascinating findings, both neurology and internal medicine want to be the primary service. About 24-96 hours later, the patient develops neck flexion weakness, decreased deep tendon reflexes, cranial nerve abnormalities, proximal muscle weakness, and respiratory insufficiency. Now, neither internal medicine nor neurology wants the patient so he goes to ICU. After two weeks in the ICU including a stint on the mechanical ventilator, the patient has complete resolution of his neurologic symptoms.
Challenge: What's your diagnosis?
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