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55 yr old with sluring of speech

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1801006059- Long Case This is an online E log book to discuss our patient's de-identified health data shared after taking his/her/guardian's signed informed consent. Here we discuss our individual patient's problems through series of inputs from available global online community of experts with an aim to solveb those patient's clinical problems with collective current best evidence based inputs. This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box is welcome. CASE-  A 55 year old male with chief complaints of - deviation of mouth to left side since 2 days and  - slurring of speech since 2 days History of presenting illness: Patient was apparently asymptomatic 2 days ago. He then developed slurring of speech which was sudden in onset . He also developed B/L blurring of vision which was sudden in onset and which lasted for an hour . On the same day his wife noticed deviation of mouth to left side and was t