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December 04, 2018; 91 (23) Resident & Fellow Section

Residency Training: Progressive gait difficulty and incontinence in a 40-year-old man with HIV

Andrew Silverman, Tess O'Meara, Leah Le, Kevin Robertson, Serena Spudich
First published December 3, 2018, DOI: https://doi.org/10.1212/WNL.0000000000006619
Andrew Silverman
Department of Neurology (A.S., T.O., L.L., S.S.) and Center for Neuroepidemiology and Clinical Neurological Research (S.S.), Yale University School of Medicine, Yale University, New Haven, CT; and Department of Neurology (K.R.), University of North Carolina School of Medicine, Chapel Hill.
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Tess O'Meara
Department of Neurology (A.S., T.O., L.L., S.S.) and Center for Neuroepidemiology and Clinical Neurological Research (S.S.), Yale University School of Medicine, Yale University, New Haven, CT; and Department of Neurology (K.R.), University of North Carolina School of Medicine, Chapel Hill.
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Leah Le
Department of Neurology (A.S., T.O., L.L., S.S.) and Center for Neuroepidemiology and Clinical Neurological Research (S.S.), Yale University School of Medicine, Yale University, New Haven, CT; and Department of Neurology (K.R.), University of North Carolina School of Medicine, Chapel Hill.
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Kevin Robertson
Department of Neurology (A.S., T.O., L.L., S.S.) and Center for Neuroepidemiology and Clinical Neurological Research (S.S.), Yale University School of Medicine, Yale University, New Haven, CT; and Department of Neurology (K.R.), University of North Carolina School of Medicine, Chapel Hill.
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Serena Spudich
Department of Neurology (A.S., T.O., L.L., S.S.) and Center for Neuroepidemiology and Clinical Neurological Research (S.S.), Yale University School of Medicine, Yale University, New Haven, CT; and Department of Neurology (K.R.), University of North Carolina School of Medicine, Chapel Hill.
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Residency Training: Progressive gait difficulty and incontinence in a 40-year-old man with HIV
Andrew Silverman, Tess O'Meara, Leah Le, Kevin Robertson, Serena Spudich
Neurology Dec 2018, 91 (23) 1065-1070; DOI: 10.1212/WNL.0000000000006619

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A 40-year-old South African man presented with progressive difficulty walking, bilateral leg weakness, and balance problems. He described vague cognitive symptoms and new-onset urinary incontinence. Notwithstanding a 2008 HIV diagnosis (infection date unknown), due to social issues he did not obtain medical care. There was no medical history of opportunistic infections (OIs) or other problems associated with HIV. Three months before presentation, however, he had stopped working as a home care assistant due to unsteady gait. In addition, he described a recent 30-pound weight loss. He denied headaches or neck pain. There was no relevant family history, and he took no medication.

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  • ↵* These authors contributed equally to this report.

  • Go to Neurology.org/N for full disclosures. Funding information and disclosures deemed relevant by the authors, if any, are provided at the end of the article.

  • © 2018 American Academy of Neurology
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