Sep 8, 2016
In this week's episode of Teaching through Clinical Cases, Dr. Michael Rubenstein (episode 17, "The FAME clinic in Tanzania") leads a discussion on the evaluation of a young patient with a rapidly progressive gait difficulty with numbness and paresthesias. BrainWaves podcasts and online content are intended for medical education only and should not be used to guide medical decision making in routine clinical practice. Any cases discussed in this episode are fictional and do not contain any patient health identifying information. This episode was vetted and approved by Michael Rubenstein. REFERENCES 1. Kumar N, Elliott MA, Hoyer JD, Harper CM, Jr., Ahlskog JE and Phyliky RL. "Myelodysplasia," myeloneuropathy, and copper deficiency. Mayo Clinic proceedings. 2005;80:943-6. 2. Stabler SP. Vitamin B12 deficiency. The New England journal of medicine. 2013;368:2041-2. 3. Goodman BP. Metabolic and toxic causes of myelopathy. Continuum (Minneap Minn). 2015;21:84-99. 4. Kriegstein AR, Shungu DC, Millar WS, Armitage BA, Brust JC, Chillrud S, Goldman J and Lynch T. Leukoencephalopathy and raised brain lactate from heroin vapor inhalation ("chasing the dragon"). Neurology. 1999;53:1765-73. 5. Pema PJ, Horak HA and Wyatt RH. Myelopathy caused by nitrous oxide toxicity. AJNR American journal of neuroradiology. 1998;19:894-6.