Admitting this man in his 60s with right hemiparesis since two days which is the second time after he had it once and recovered fully this February.
On examination:
MMSE or psychometric assessment: awaited
Hyperreflexia in upper more than lower limbs, near normal power and impaired tandem gait along with rhombergs sign positive. Normal eye saccades, no diplopia during testing with mild gaze evoked nystagmus
Essentially early signs of both pyramidal and extrapyramidal pathology?
Is that a hummingbird or a micky mouse in his MRI?
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