Dedication

This book is dedicated to Donald Winston Paty, MD, who was born in China in 1936 to a family of United States missionaries. In 1943 Don moved to the United States where he later completed his education in New York and Georgia. He received his medical diploma from Emory University in 1962, followed by an internship at Duke University, and a residency at Emory. During that time he took a civil service position in Borneo with the US Public Health Service where he provided medical care for the...

Case 3

A 53-year-old woman developed subacute tetraplegia. Brain and spinal MRI was normal and CSF acellular. She made a partial recovery over 6 months after intravenous high-dose corticosteroids. Eighteen months later, she developed severe bilateral sequential optic neuritis and a left hemiplegia. Limb weakness partially improved, and her vision remained poor despite a further course of corticosteroids. Repeat MRI showed two infratentorial white matter lesions. MRI cervical cord showed an extensive...