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CASE PRESENTATION

CASE PRESENTATION. DEPARTMENT OF NEUROLGY Sheba medical center. History. 29yrs, female Past history: Mild Asthma 5 days prior to admission, sensory disturbance, Rt. torso: T8 to ear On day of admission – Lt. peripheral facial palsy. Exam. Physical exam normal Neurologic exam:

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CASE PRESENTATION

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  1. CASE PRESENTATION • DEPARTMENT OF NEUROLGY • Sheba medical center

  2. History • 29yrs, female • Past history: Mild Asthma • 5 days prior to admission, sensory disturbance, Rt. torso: T8 to ear • On day of admission – Lt. peripheral facial palsy

  3. Exam • Physical exam normal • Neurologic exam: • Lt. peripheral facial palsy • Dysesthesia of Rt. torso T4-T8 • Rt. mild pyramidal signs

  4. Ancillary tests • Chemistry, CBC – normal • Hypercoagulability tests – normal • HIV negative • Brain CT – normal • LP: op-160mm, prt-49.4, glu- 63(120), no cells, oligoclonal bands, VZV, WNV negative • Brain MRI - normal

  5. Follow-up • Bilateral peripheral facial palsy • Adie’s pupil

  6. Sarcoidosis • ACE-194 • Lung CT – Bilateral hilar lymphadenopathy and infiltrates (stage II)

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