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Stanford Wessler, MD; Louis V. Avioli, MD

JAMA. 1968;204(2):140-144.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

DR. BENJAMIN M. GOLDSTEIN^*:A 71-year-old white woman was admitted to the Jewish Hospital for the first time on March 30, 1967, because of weakness and slurred speech. She had a 15-year history of hypertension and had been hospitalized 3 years previously at another institution for evaluation of hemoptysis and cardiomegaly.

Physical examination showed a thin, elderly white woman with slurred speech. The temperature was 98.4 F (36.9 C); the pulse, 88 beats per minute; and respirations, 12 per minute. The blood pressure was 250/90 mm Hg. Findings from examination of the eyes were normal. Firm carotid pulsations were present bilaterally. Cardiopulmonary and abdominal examinations were unremarkable. There was right-central facial weakness and paresis of the right arm and leg with associated increase in the deep-tendon reflexes; a Babinski reflex was present on the right, as well as a decrease to pinprick sensation over the right arm and leg. There . . . [Full Text PDF of this Article]

Author Affiliations
From the Department of Medicine, the Jewish Hospital of Saint Louis.

Footnotes
Reprint requests to Washington University School of Medicine, St. Louis 63110 (Dr. Wessler).

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