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A 64 year-old woman with prior history of clivus leiomyosarcoma developed brief episodes of paroxysmal dysarthria. Previously, she received trans-sphenoidal resection, chemotherapy and radiotherapy (60 Gy) that ended 2 years before (figure 1). Neurological examination revealed paroxysmal hypoglossal rippling movements on the right hemitongue without either atrophy …
Contributors TG and MA contributed equally to this manuscript.
Competing interests None declared.
Provenance and peer review Commissioned; externally peer reviewed.
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