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Neurological picture
Medulla compression caused by vertebral artery dolichoectasia
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A 75-year-old man was admitted with recently developed hiccough and a 1 year history of ataxia. He denied drug overuse, stroke, head trauma and a family history of ataxia. He had hypertension for 10 years. He showed left-sided ptosis, miosis, right-sided hypaesthesia and bilateral limb ataxia, which was more prominent on the left side. He lost balance and leaned to …
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Competing interests: None.