Clinical Reasoning: A 37-year-old man with multiple cranial neuropathies

A 37-year-old man presented with a 7-month history of vertigo, nausea, dysphagia, right-sided tinnitus, and hearing loss. He denied headache, paresthesias, change in vision, or problems with cognition. He endorsed a history of progressive fatigue, generalized weakness, and poor libido. His symptoms left him functionally impaired and bedridden.

Source: Neurology - February 15, 2016 Category: Neurology Authors: O'Loghlen, S., Guy, B., Rossiter, J. P., Boyd, J. G. Tags: CT, MRI, All Clinical Neurology, All Medical/Systemic disease, Clinical neurology examination RESIDENT AND FELLOW SECTION Source Type: research