Abstract
A 58-year-old woman was admitted to this hospital because of a recent history of progressive fatigue and right-sided weakness, with headache and word-finding difficulty. Similar episodes had occurred over the previous 3 years, with increasing frequency and with residual right-sided weakness. She had a 30-year history of type 1 diabetes, complicated by retinopathy, neuropathy with gastroparesis, nephropathy, and cardiovascular disease. Symptoms of gastroparesis progressed; the patient refused further care and died. An autopsy was performed.
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