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Clinical Reasoning: A 24-Year-Old Man With Gait Impairment, Hearing Loss, and Recurrent Fever.

Adriel Rêgo BarbosaMarianna Pinheiro Moraes de MoraesThiago Yoshinaga Tonholo SilvaJosé Luiz PedrosoOrlando Grazianni Povoas Barsottini
Published in: Neurology (2024)
We present a case study of a 24-year-old man who reported mild balance and walking difficulties for 2 years. He had a history of recurrent fever, skin lesions, headache, and elbow pain, but most of these events resolved spontaneously. There was no significant family history. On examination, we observed frontal bossing, sensorineural hearing loss, and gait ataxia. This case underscores the significance of identifying clinical indicators in patients with neurologic symptoms, particularly recurrent fever, to establish a precise and thorough differential diagnosis.
Keyphrases
  • hearing loss
  • chronic pain
  • early onset
  • working memory
  • physical activity
  • sleep quality
  • soft tissue
  • depressive symptoms