Brain and spinal MRI Extensive demyelinating lesions with evidence of recent callosal involvement. Spinal imaging revealed diffuse, patchy, T2 hyperintense lesions involving the majority of the cervical cord and T9-10 with associated atrophy
24 October 2014
Neck pain, fatigue, and weakness
23 March 2015
Discharged on same day
25 March 2015
Lethargy and high-temperature
Dysmetric saccades. Cerebellar signs. Worsening power with bilateral upgoing plantar reflexes. Bilateral lower leg oedema.
Discharged 2 days later
Not known (NK); Glasgow Coma Scale (GCS); acute kidney injury (AKI); mid-stream urine (MSU); C-reactive protein (CRP); right upper quadrant (RUQ); sepsis of unknown origin (SUO); liver function tests (LFTs); lumbar puncture (LP); chest X-ray (CXR); ultrasonography (USS); thyroid function tests (TFTs); parathyroid hormone (PTH); estimated glomerular filtration rate (eGFR); Syndrome of Inappropriate Anti-Diuretic Hormone (SIADH).