The case, a woman æt. 62, alcoholic, presented the following clinical history:—Six years ago she had a right-sided hemiparesis, followed by a second similar attack in two years. Three years ago she had a weakening of the voice ending in aphonia, followed by dysarthria and dysphagia. There were also paresis of the lower facial muscles, especially on the right side, without atrophy, paresis of the tongue and palate. In addition to the right-sided hemiparesis, there was latterly paresis of the left leg.
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