She also notes decreased hearing in both ears. This persists for 2 days and resolves. This persists for 30 minutes and resolves. She also describes perioral and acral paresthesias. These last 2 minutes and resolve.
Neuro exam is normal.
Both parents have MS . Patient has MRI which shows two high signal subcortical T-2 lesions. These persist for 30 seconds and resolve. On one occasion, he passes out and during the episode becomes rigid and has myoclonic jerks, and rapidly regains consciousness and alertness. A 28 year old medical student is getting ready for his surgery rotation when he is informed that he will be assigned to the Charity Hospital service, and that there will be call in house every third night, and he will be expected to perform daily rectal exams on an entire ward.