Romberg's Case Study

Ms. M is a 27-year-old women who recently moved from her hometown Minneapolis, Minnesota to Salt Lake City, Utah for a job offer. She lives alone and works as an English teacher at the East High School in Salt Lake City since the beginning of the school year after her graduation last summer. Since it is the first time she has her own classes, it is sometimes quite stressful for her even if she likes her job. The past few years, she reported numerous neurological complaints which came and went affecting several different neurological systems. She experienced stumbling gait preceded by heat intolerance which led to a tendency to fall. She also experienced a periodically change in her visual acuity. Two months ago she had a real stressful time: preparing the upcoming exams for her classes, dealing with her mother’s depressive …show more content…
Different exams also showed a paresthesia on the right side, a decreased pin sensation, and a mild vibratory sense loss in her distal lower extremities. The Romberg’s test was negative and the tandem gait was rated as mildly unstable. Neurological examinations show “no extraocular motor palsy” nor “difficulties with smooth pursuit or saccades”. However, there is a decrease in hearing on the left side and a numbness of the right side of her face as well as of the entire right body side. The Weber test and the Rinne’s test show a sensory-neural hearing loss on the left. Additional examination show a normal elevation of the palate, an intact swallow movement but a slowed tongue movement even if the tongue power seems to be intact. In contrary to her hearing abilities, her tendon reflexes are rated as normal and symmetrical in her arms and even as brisk at the ankles. She also presents a bilateral extensor toe