000			01469nam a2200277 4500
001			ESSALUD
005			20260804124912.0
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040			_aBMG
041			_aeng
100			_aSingh Bajwa, Jasdeep _eAutor _953676
245			_aThe daily grind
300			_apáginas: 54-68
520			_aA 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.
650			_aMEDICINA CLINICA GENERAL _953666
650			_aNEUROLOGÍA
650			_aNEUROCIRUGÍA _97782
650			_aORTOPEDIA _925652
650			_aCIRUGÍA
700			_aDhaliwal, Gurpreet _953677
700			_aManesh, Reza _953678
700			_aRao, Sandesh _953679
773	0		_022717 _922634 _dMassachusetts NEJM Group _oNEJM001 _tThe New England Journal of Medicine _wESSALUD _x0028-4793
942			_cARTICULOS _e2026-07-31 _zsqb
999			_c22726 _d22726