Case 8-1998

Presentation of Case A 41-year-old man was admitted to the hospital because of leg weakness and mediastinal lymphadenopathy. The patient had been well until a month earlier, when he fell while walking and felt weakness in the left leg. On the next day, he had diffuse body pains, with numbness of the lateral aspect of the left thigh, calf, and foot. Conservative management was advised, but the symptoms worsened. Three weeks before admission, the patient lunged to catch a ball and fell because of leg weakness. He began to have difficulty emptying his bladder, with urinary frequency and oliguria; he . . .