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JAMA. 1954;156(7):719-720. doi:10.1001/jama.1954.02950070047010.
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PRESENTATION OF CASE  Jonas Valaitis, M.D., ChicagoA 42-year-old white woman was admitted to Albert Merritt Billings Hospital on July 17, 1953, because of continuous occipital headaches, occasional nausea with vomiting, and weight loss of 14 lb. (6.4 kg.) in the preceding three months. The patient had had headaches most of her life, but they had been intermittent and of no more than two days' duration.

Physical Examination.—  The blood pressure was 118/80 mm. Hg on admission. The temperature was 37 C (98.6 F) and respirations 22 per minute. The patient seemed to be slowed down mentally. On neurological examination no abnormal signs were present except a less pronounced left nasolabial fold. An audiogram revealed bilateral high tone deafness of mild degree.

Laboratory Findings.—  The blood had 5,090,000 red blood cells per cubic millimeter, with 15 gm. of hemoglobin per 100 cc., 7,600 white blood cells per cubic millimeter, and


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