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This case was presented at the 34th Edinburgh Advanced Neurology course.
Contributors RD and CAH contributed towards writing the article; CS provided all pathology material and contributed towards writing the article; HM provided all material on critical appraisal of the case, on which this CPC is based; BW contributed towards writing the case and undertook literature review on neuroendocrine tumours and paraneoplastic conditions.
Competing interests None.
Patient consent Obtained.
Provenance and peer review Commissioned; externally peer reviewed. This paper was reviewed by Jeremy Rees, London, UK.