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Case 28 - Weak and Tingly

Published online by Cambridge University Press:  27 June 2026

James Dolbow
Affiliation:
MetroHealth Medical Center, Ohio
Eric Curfman
Affiliation:
University Hospitals Cleveland Medical Center, Ohio
Neel Fotedar
Affiliation:
University Hospitals Cleveland Medical Center, Ohio
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Summary

A 58-year-old man presents to the emergency department unable to walk. He reports that 3 weeks ago he tested COVID positive but only had minimal cough and gastrointestinal symptoms. One week after his COVID symptoms resolved, he noticed mild low back pain and pins and needles sensation in his feet. His sensory symptoms worsened over 2–3 days, and he began to notice difficulty walking and his legs felt “heavy.” Over the past few days his leg weakness has significantly worsened to the point of not being able to stand, and he has developed the same tingling sensation in his hands with new difficulty holding objects. He denies recent neck or back trauma, any visual symptoms, fever, or similar symptoms in the past.

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  • Weak and Tingly
  • James Dolbow, MetroHealth Medical Center, Ohio, Eric Curfman, University Hospitals Cleveland Medical Center, Ohio, Neel Fotedar, University Hospitals Cleveland Medical Center, Ohio
  • Book: Case Studies in Clinical Neurology
  • Online publication: 27 June 2026
  • Chapter DOI: https://doi.org/10.1017/9781009622967.030
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  • Weak and Tingly
  • James Dolbow, MetroHealth Medical Center, Ohio, Eric Curfman, University Hospitals Cleveland Medical Center, Ohio, Neel Fotedar, University Hospitals Cleveland Medical Center, Ohio
  • Book: Case Studies in Clinical Neurology
  • Online publication: 27 June 2026
  • Chapter DOI: https://doi.org/10.1017/9781009622967.030
Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

  • Weak and Tingly
  • James Dolbow, MetroHealth Medical Center, Ohio, Eric Curfman, University Hospitals Cleveland Medical Center, Ohio, Neel Fotedar, University Hospitals Cleveland Medical Center, Ohio
  • Book: Case Studies in Clinical Neurology
  • Online publication: 27 June 2026
  • Chapter DOI: https://doi.org/10.1017/9781009622967.030
Available formats
×