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From the Departments of Psychology (Drs. Ballard and Donders), and Neurology (Dr. Butzer), Mary Free Bed Hospital, Grand Rapids, MI.
Received September 20, 1995. Accepted in final form November 27, 1995.
Address correspondence and reprint requests to Dr. Jacques Donders, Department of Psychology, Mary Free Bed Hospital, 235 Wealthy SE, Grand Rapids, MI 49503.
A 29-year-old man developed vertigo, diplopia, confusion, and spasticity. Brain biopsy revealed multifocal microinfarcts. Bilateral hearing loss and retinal microangiopathy were also noted. Deficits were stable 2 years after onset. Repeated neuropsychological testing was suggestive of diffuse cerebral dysfunction, with likely prominent involvement of reciprocal diencephalic-cortical projections.
NEUROLOGY 1996;47: 266-268
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