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A previously well 68-year-old woman presented with sudden onset, painless diplopia and paraesthesia of the tongue and fingers bilaterally. Neurological examination revealed exotropia of the right eye, convergence failure and bilateral internuclear ophthalmoplegias (INOs). Thrombolysis was considered but was withheld as CT angiography showed a …
Competing interests None.
Patient consent Obtained.
Provenance and peer review Not commissioned; externally peer reviewed. This paper was reviewed by Mark Lawden, Leicester, UK.