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A 72-year-old woman was hospitalised following a sudden loss of consciousness. She had hypertension and atherosclerotic vascular disease, causing bilateral internal carotid artery stenosis. She was drowsy, mute and tetraparetic. A CT scan of the head showed left occipitotemporal, cerebral peduncle and bilateral thalamic infarctions . During the admission, she developed eyelid closure dystonia, persistent tongue protrusion with dyskinetic movements of the …
Footnotes
Contributors RAA: conception of the case report, acquisition and analysis of data, and drafting of the manuscript. HS and TATH: critical revision of the manuscript for important intellectual content.
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.
Provenance and peer review Not commissioned; externally reviewed by Oliver Bandmann, Sheffield, UK and Neil Anderson, Auckland, New Zealand.
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