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He gone back to our ER two weeks later stating faintness, loss in balance, blurred eyesight, mild dysarthria and bilateral hand paraesthesia. On evaluation, he provided total bilateral ophthalmoplegia, moderate dysarthria, left finger-to-nose dysmetria, ataxia, areflexia and bilateral hand hypoaesthesia without fever. Blood tests and head computed tomography were typical. The individual was admitted to the Internal medication department. On the 2nd time regarding the ward, the
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