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Case of the Month

Section Editor: Nicholas Stence, MD
Children's Hospital Colorado, Aurora, CO

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January 2023

A 21-year-old woman presents with gait abnormality, recurrent falls, hand and lower extremity numbness, and subsequently altered mental status, encephalopathy, and fever. EMG reveals a sensory axonal polyneuropathy affecting mostly the upper limbs, while EEG is normal.

Case submitted by

Zehra Isik Hasiloglu, MD; Rami Massie, MD; Erin Kathleen O’Ferrall, MD; Roberta La Piana, MD, PhD

Departments of Diagnostic Radiology, Neurology and Neurosurgery, and Pathology, Montreal Neurological Institute, McGill University, Montreal, QC, Canada

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