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A 29-year-old man, with no significant history, presented with a 2-month history of episodic facial numbness on the left side associated with left-sided weakness and expressive dysphasia, lasting about 1 minute. There were no visual disturbances. He was a martial arts enthusiast and led a very active life. He denied any recent trauma to his head or neck. He was a non-smoker and consumed less than 2 units of alcohol a week.
Examination revealed a young man with a pulse rate of 90 beats/min, and blood pressure of 120/80 mmHg. There was no rash, petechiae or lymphadenopathy. …
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