TY - CHAP M1 - Book, Section TI - Inflammatory and Demyelinating Central Nervous System Diseases A1 - Choi, H. Alex A1 - Ko, Sang-Bae A1 - Lee, Kiwon A2 - Lee, Kiwon Y1 - 2012 N1 - T2 - The NeuroICU Book AB - A 60-year-old man with a history of hypertension is admitted with several days of fever and generalized weakness. He complains of diplopia and anorexia and is found to have a low-grade fever of 100.1°F. Over the next few days he clinically deteriorates, developing progressive encephalopathy, worsening right arm weakness, bulbar weakness, and an inability to walk. A head computed tomography (CT) shows nonspecific white matter changes. He is intubated for airway protection and transferred to the neurologic intensive care unit (NICU). On presentation, his examination shows vital signs: temperature 100.2°F, HR 90 bpm, BP 130/90 mm Hg. He has intact cranial nerves except for an absent gag reflex. Motor examination reveals increased tone throughout, extensor posturing of the left arm, flexor posturing of the right arm, and no response in the lower extremities. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/10/10 UR - neurology.mhmedical.com/content.aspx?aid=1101642931 ER -