The patient was a 75 year old man who
had an 8~10 month history of progressive difficulty walking. He had noted
some left lower extremity weakness and some difficulty with memory and
concentration. He was alert and oriented, but had slow and hesitating speech.
He could recall only 1 of 3 objects at five minutes. Cranial nerves were
normal. Upper extremity tone and power were normal. Both lower extremities were
weak in an extensor distribution, and were graded at 4+/5. Sensation was
normal. Muscle stretch reflexes were active and equal. Babinski signs were
negative. Gait was slow, broadbased, and tandem walking was ataxic. He
underwent craniotomy and tumor resection.
