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Titlebook: Clinical Cases in Neurology; Ondrej Dolezal Book 20191st edition The Editor(s) (if applicable) and The Author(s), under exclusive license

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Rocket and Spacecraft Propulsionng issues. He also reported a numb right side of his face (“like having local anaesthesia at the dentist”) and that his symptoms were gradually progressing. He was referred by his Haematologist as he had a history of Chronic Lymphocytic leukaemia (CLL) with lymphadenopathy, splenomegalia and leukocy
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https://doi.org/10.1007/b138541ension and diabetes. So far AF has responded well to “rate control” treatment (previously on beta blocker, currently on calcium channels blocker). He complained about intermittent dizzy spells and was seen by Cardiology. However the history surrounding the fall (and how he had actually arrived to ho
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https://doi.org/10.1007/b138541 onset of symptoms seemed subacute and progressive. Symptoms started “weeks ago” but he was “getting worse”. The patient had smoked 30–40 cigarettes every day for more than two decades. He denied any head or neck injury. On objective examination there was hyperreflexia with positive plantars bilater
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Crash course in rocket plane design,were increased and plantars negative. Cranial nerves and cerebellar functions were normal. Sphincters were normal. Rest of neurological examination was influenced by serious pain in all four extremities (showed on diagram), therefore patient was very difficult to examine. He had a dry cough. CRP was
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