Clinical Reasoning: A 49-Year-Old Woman With Progressive Numbness and Gait Instability

Anza Zahid, Shailee Shah, Jennifer M. Martinez-Thompson, Courtney A. Arment, Yajue Huang, Charles D. Sturgis, Divyanshu Dubey

Research output: Contribution to journalArticlepeer-review


A 49-year-old woman with no relevant medical history presented to an external neurology clinic with progressive hand and foot paresthesia and gait instability for over 6 months. Initially, she reported tingling and shooting electrical-type sensations involving her feet. Within several weeks of the onset of paresthesia, she noted a burning pain sensation involving the left hand. Sensory symptoms continued to worsen and she felt pressure-like sensation around the neck and scalp region. This was shortly followed by right hand numbness and loss of dexterity. Over the next month, she developed progressive gait imbalance and transitioned to a cane for ambulation.

Original languageEnglish (US)
Pages (from-to)342-347
Number of pages6
Issue number7
StatePublished - Aug 17 2021

ASJC Scopus subject areas

  • Clinical Neurology


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