Mute with dancing tongue

45 year old lady with no known co-morbidities with sudden onset mutism with

rigidity of the extremities and an expressionless face .She has continuous drooling of saliva and rapidly

worsened to complete inablity to walk even with support. On examination she has a stiff neck with

hyperreflexia and clonus with posturing



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Department of Medicine, Christian Medical College, Vellore, Tamil Nadu, India

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