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A 71 year old man was transferred to our hospital with a two week history of gait disturbance and disorientation. He had no apparent history of malnutrition, surgery of digestive tract, or alcoholism. Eye movements were limited vertically. Deep tendon reflexes were absent in the lower limbs. Vibration sensation was absent at ankles. His score on the Mini Mental State Examination was 14. Diffusion weighted magnetic resonance imaging …
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