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  38 YR OLD FEMALE CAME WITH THE  C/O SEIZURES SINCE 4 DAYS . HOPI Patient was apparantly asymptomatic 20 days back then she had fever , headache , cough , cold for which she had taken treatment from the local hospital , from then she had on and off fever with generalized wekness and 4 days back she had slurring of speech for which she went to a local hospial and there she had episode of seizure involving right upper limb and deviation of mouth , associates with tongue bite ,episode lasted for 5 min . No H/o loss of consciousness , involuntary micturition , involuntary defecation . Again 6 more episodes of right upper limb unilateral focal seizures on the next 3 days that is 2 episode each night .from there she was referred to our hospital for further treatment . PAST HISTORY  K/C/O poliomyelitis since 3 years of age (5 -10 days post vaccination) Not a k/c/o DM , HTN , CAD , ASTHMA , TB . Underwent surgery for removal of ? Lipoma  8 years ago . PERSONAL HISTORY ...

  A 62 year old male presented with weakness in both lower limbs extending upto thigh unable to lift and walk. He is the eldest of 5 sons and owns  4 acres of land ,grows rice and owns and drives a tractor to plough the field. He is an alcoholic since 30 years , daily intake (90-180 ml whisky) and denies smoking 5 years ago ,On an occasion, he was made to drink herbal medication in order to make him quit drinking .He developed fever the same night with chills and was taken to hospital and he even recollects that his voice was getting low and starting from paralysis of lower limbs in an ascending manner and was referred to Kims,Nkp.He stayed for 3 days and was discharged on potassium supplementation. 6-10 days later he developed paralysis of lower limbs and was again brought to Kims ,Nkp, and was corrected and was symptom free for one month  He developed paralysis for third time later ,after 1-2 months ,he was taken to Gandhi hospital for the same and he recovered and was ...