01469nam a2200277 4500 ESSALUD 20260804124912.0 ta t pe ||||| |||| 00| 0 spa d BMG eng Singh Bajwa, Jasdeep Autor 53676 The daily grind páginas: 54-68 A 56-year-old woman was admitted to the hospital for gait instability. Eight weeks before presentation, she had noticed a gradual onset of ascending symmetric sensations of painful “pins and needles” that had begun in her feet. Two weeks before presentation, she began to have short-term memory impairment, difficulty concentrating, irritability, anorexia, and palpitations, along with paresthesias in her hands that were similar to those that had begun in her feet. She was unable to feel her feet on the ground when she walked, which led to frequent stumbling, and she braced herself against walls for stability. She reported no headaches, weakness, or weight loss. MEDICINA CLINICA GENERAL 53666 NEUROLOGÍA NEUROCIRUGÍA 7782 ORTOPEDIA 25652 CIRUGÍA Dhaliwal, Gurpreet 53677 Manesh, Reza 53678 Rao, Sandesh 53679 22717 22634 Massachusetts NEJM Group NEJM001 The New England Journal of Medicine ESSALUD 0028-4793 ARTICULOS 2026-07-31 sqb 22726 22726