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An exotic cause for confusion in the garden

Medical Student Department of Neurology, Royal Free Hospital, London, UK
Consultant Neurologist Department of Neurology, Royal Free Hospital, London, UK
Consultant Neurologist Department of Neurology, Royal Free Hospital, London, UK
Specialist Registrar Department of Neurology, Royal Free Hospital, London, UK

Correspondence to:
Dr A Cohen, Department of Neurology, Royal Free Hospital, London NW3 2QG, UK; acohen@ion.ucl.ac.uk

The first 150 words of the full text of this article appear below.

A 70-year-old retired accountant presented with progressive confusion. He was unable to give a clear account of recent events so his wife provided most of the history. She had first noticed four months previously that he had been unable to organise social events for his local Rotary club, and also had lost his ability to manage the household finances. There was then a progressive decline in his memory and organisational skills with increasing confusion about everyday events. In addition he had developed a tremor when holding the newspaper or trying to write. He also complained of muscle cramps in his legs and a band of sensitivity around his abdomen, which were severe enough to wake him at night. He appeared anxious and confused at social occasions, and was sweating and complaining that his head felt hot. The only significant medical history was a raised blood cholesterol for which he was . . . [Full text of this article]

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