Physical Findings

Stop & Think

Lab and X-Ray

Differential Diagnosis

The Disease

Treatment

Conclusions

Quiz & Evaluation

• Multiple and intermittent muscular and neurological complaints over several years.
• Symptoms come and go.
• Urinary tract complaints, including several  episodes of urinary retention requiring catheterization.
• Sudden onset of unilateral blindness.
• Physical exam reveals both sensory and motor deficits.
• Neurological findings suggest both spinal cord and brain involvement.

• Neuronal disease.
• Space occupying lesion.
• Vascular or TIA.
• White matter disease.