A 44-year-old man suddenly fell down and struck his head . On the next day, he visited the emergency department of a local hospital and attributed the cause of this sudden fall to extreme weakness and fatigue . He developed a sore throat one week ago, fatigue and weakness persisted since.
The patient did not report any other neurological/vision/sensory changes, focal motor weakness, headache, and dizziness. His intake of fluid and nutrient was normal. Medical history Hypertension Dyslipidemia Adherent to the usual treatment regimen of lisinopril and simvastatin Cigarette smoking (10 times a day) No use of illegal drugs and ethanol No complaints of appetite changes, nausea, chest pain, and palpitations Physical examination and workup Alert, well-nourished man of lean built Minor abrasion on right forehead Slow and slurred speech Visual fields and extraocular movements: Intact Reflexes…
