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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
CASE PRESENTATION
  • DEPARTMENT OF NEUROLGY
  • Sheba medical center
history
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
slide3
Exam
  • Physical exam normal
  • Neurologic exam:
    • Lt. peripheral facial palsy
    • Dysesthesia of Rt. torso T4-T8
    • Rt. mild pyramidal signs
ancillary tests
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
follow up
Follow-up
  • Bilateral peripheral facial palsy
  • Adie’s pupil
sarcoidosis
Sarcoidosis
  • ACE-194
  • Lung CT – Bilateral hilar lymphadenopathy and infiltrates (stage II)