ABSTRACT
CASE PRESENTATION Six months prior to presentation, this 32-year-old man fell 10 feet from a ladder, striking his head, with loss of consciousness for several minutes. Two days later, he noticed difficulty speaking and walking. Within 2 weeks of the fall, he was fired from his construction job. Over the next several weeks, his mother noticed that he had slurred speech. He then developed dysphagia for solids, liquids, and saliva with a 50-pound weight loss, generalized weakness, and left-sided sensory loss. He was evaluated several times in a tertiary care medical center emergency room and was given outpatient neurology and otolaryngology appointments. No information on diagnostic studies was available.
