Author/Authors :
SANTOS, Vitorino Modesto dos Catholic University (UCB) - Armed Forces Hospital (HFA) - Department of Internal Medicine, Brazil , FERRER, Mariana Gonçalves Catholic University (UCB) - Armed Forces Hospital (HFA) - Department of Internal Medicine, Brazil , SALES JUNIOR, Jose Henrique Catholic University (UCB) - Armed Forces Hospital (HFA) - Department of Internal Medicine, Brazil , VIEIRA, Thiago Augusto Catholic University (UCB) - Armed Forces Hospital (HFA) - Department of Internal Medicine, Brazil , CAMPOS, Vinicius Ferreira Catholic University (UCB) - Armed Forces Hospital (HFA) - Department of Internal Medicine, Brazil
Abstract :
A 61-year-old white right-handed man was admitted because of recent loss of weight and difficulty in swallowing solid foods. There was gradually progressive apathy, postural instability with falls backwards and cognitive deficit. His past history included controlled diabetes mellitus and arterial hypertension, tobacco smoking and heavy alcoholism. During the last two years, an unexplained bilateral contraction developed in some of his fingers. He was not a manual worker nor a guitar or piano player, and denied previous hand trauma or similar disturbance in members of his family.
