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JAMA Clinical Challenge
October 11, 2016

Nystagmus and Lower Extremity Hyperalgesia After Colectomy

Author Affiliations
  • 1Section of Clinical Neurology, Department of Neurological, Biomedical, and Movement Sciences, University of Verona, Verona, Italy
  • 2Division of Neurology, Department of Neuroscience, Azienda Ospedaliera Universitaria Integrata of Verona, Verona, Italy

Copyright 2016 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.

JAMA. 2016;316(14):1488-1489. doi:10.1001/jama.2016.13658

A 47-year-old man with a history of severe Crohn disease was admitted for elective colectomy. He experienced nausea and vomiting in the 2 weeks prior to surgery. Although the surgical procedure was uneventful, the postoperative period was complicated by an enterocutaneous fistula that required further surgical intervention. One week after the second operation, he reported an “inability to visually focus on objects” and excruciating, burning pain in the lower limbs, both proximally and distally.

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