Botulism is a widespread neuroparalytic disease that may be confused with o
ther neurological disorders. As it is potentially lethal, clinicians are re
quired to be aware of its diagnosis and management. Ne report a case of bot
ulism complicated by pyramidal signs in a 35-year-old woman. Clinical aspec
ts, differential diagnoses and therapeutic problems are discussed. Eur J Ne
urol 6:91-93 (C) 1999 Lippincott Williams & Wilkins.