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Alice S. Chen-Plotkin, MD, MSc; Kaipo T. Pau, MD; Jeremy D. Schmahmann, MD

Arch Neurol. 2008;65(1):144-145.

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

A 53-year-old woman was transferred to our institution from another country for evaluation of mutism, quadriparesis, and incontinence. She had undergone hysterectomy for menorrhagia, complicated by an event characterized to the family as the patient having "died" prior to resuscitation. She was reportedly comatose for 2 days but recovered well and functioned normally for 2 weeks. She then became confused, developed gait difficulty and incontinence, and her condition deteriorated further over 2 weeks prior to transfer.

On neurological examination the patient was mute and did not follow commands. There was a right visual field deficit. Her legs moved purposefully, but her arms were held in a flexed posture. She was spastic and hyperreflexic in all extremities. The results of serum chemistry analyses, lactate and pyruvate level testing, complete blood cell count, coagulation studies, and thyrotropin and vitamin . . . [Full Text of this Article]

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