Case 59 -- White Matter Lesions

*This is the Clinical Pathology Case of the Month for March, 1996.

Contributed by Lisa Kohler, MD and Robert Kelly, PhD
Published on line in March 1996


PATIENT HISTORY:

This 22 year old male college student from western Pennsylvania was seen by a neurologist in late 1994 with a 3 1/2 year history of vague complaints of lower extremity numbness and new onset right arm/hand weakness. A Lyme titer was strongly positive and confirmed by Western blot in the spring of 1995. Intravenous Rocephin therapy was instituted and the patient showed neurologic improvement. He presented in 3/96 for an additional work-up of deep white matter lesions recently identified on MRI.

NEURORADIOLOGIC IMAGING:

LABORATORY STUDIES:

FINAL DIAGNOSIS


Case 

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