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Case 42 

Case 42
Case 42

Sarah T Pendlebury

, Philip Anslow

, and Peter M Rothwell

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date: 18 November 2018

A 32-year-old man presented with severe drowsiness and confusion. He had been unwell for 2 weeks with headaches and a feeling as though he had ‘worms in his head’ followed by increasing sleepiness, causing him to be sent home from work. There were no other features on functional enquiry. There was no past medical history, recent travel abroad, or illegal drug taking. Alcohol intake was minimal. He was heterosexual and had had the same partner for the previous year. There was no family history of note.

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