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A 57-year-old man with deteriorating mobility and deafness

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Footnotes

  • Contributors MS, JMY and RD: contributed to the writing and critical revision of the article.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed by Henry Houlden, London, UK.