0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
ARTICLE |

PRESENTATION OF CASE

Elizabeth A. McGrew, M.D.
JAMA. 1955;158(3):183-184. doi:10.1001/jama.1955.02960030033010.
Text Size: A A A
Published online

ABSTRACT

A 51-year-old white woman was hospitalized because of headache, weight loss, and weakness of the right arm and leg. Her right pupil was noted to be enlarged 22 years before admission, and gradually both pupils became of equal size. Eight years before admission, her right leg and thigh, right arm and shoulder, and the right side of her face were noted to perspire excessively. In recent years, when not perspiring, these regions felt cold. For four years she had had severe throbbing occipital headaches, which recently had spread to the frontal regions. These headaches often awakened her from sleep; they were associated with stiffness of the neck and made worse by bending the head. For two years she had noted her tongue deviated to the left when protruded, and she believed her face had become asymmetrical. Her right lower extremity became almost completely paralyzed suddenly on awakening about two years

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Letters

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();