Annals of Indian Academy of Neurology
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RESIDENT CORNER
Year : 2016  |  Volume : 19  |  Issue : 4  |  Page : 444-447

An elderly male with tingly legs and a heavy heart: Persisting with the diagnosis!


1 Department of Neurosciences, Naryanana Health City, Bengaluru, Karnataka, India
2 Department of Internal Medicine, Naryanana Health City, Bengaluru, Karnataka, India
3 Department of Gastroenterology and Hepatology, Naryanana Health City, Bengaluru, Karnataka, India
4 Department of Radiology, Naryanana Health City, Bengaluru, Karnataka, India
5 Department of Endocrinology, Diabetes and Bariatric Medicine, Naryanana Health City, Bengaluru, Karnataka, India

Correspondence Address:
Subramanian Kannan
Narayana Health City, 258/A Bommasandra Industrial Area, Hosur Road, Bengaluru - 560 099, Karnataka
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0972-2327.194413

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Pursuing a diagnosis despite a negative nerve biopsy report requires a strong clinical conviction. Paying attention to clinical details and a diligent review of medical records is needed to solve cases in which the diagnosis is not obvious despite numerous tests. We present once such case of an elderly man with chronic diarrhea, weight loss, and peripheral neuropathy and elaborate on a step by step basis on how the clinical thought process evolved after sifting through the reports of scan and tests done during his work up.


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