ABSTRACT
It was shortly before John S.’s 40th birthday that he was hospitalized due to a sudden weakness of his left arm and leg. J.S. was a married salesman without children and had just moved into a newly constructed villa. During the previous years, J.S. had suffered from various minor health problems: recurrent episodes of diarrhoea led to a duodenal biopsy, diagnosis of celiac disease and a gluten free diet. Liver biopsy was taken due to persistently elevated liver enzymes and showed foci of hepatic fibrosis. A severe episode of his chronic migraine-like headaches preceded his acute left-sided palsy. Cerebral CT scans revealed a tumour-like right parietal mass lesion and multiple cerebral calcifications with perifocal edema also seen in MRI studies.
