TY - CHAP M1 - Book, Section TI - Mixed Disorders: Somatosensory, Motor, and Autonomic A1 - Brust, John C. M. PY - 1 T2 - Practice of Neural Science: A Case-Based Approach AB - A 54-year-old man has had 6 years of slowly progressive numbness and weakness of his distal limbs. Symptoms began as a constant painless tingling in his feet; after a few years, similar sensations appeared in his fingers, and the paresthesias in his feet changed to numbness. During the next 4 years, sensory symptoms spread to his knees and wrists, and he had increasing unsteadiness walking and difficulty writing or manipulating objects. He attributes this difficulty to both weakness and incoordination. There are no symptoms referable to the autonomic nervous system. SN - PB - CY - New York, NY Y2 - 2024/03/28 UR - neurology.mhmedical.com/content.aspx?aid=1180670159 ER -