63 YR OLD MALE WITH GIDDINESS, SLURRING OF SPEECH, WEAKNESS AND TINGLING OF RT UL & LL
Chief complaints : 63 yr old male who is accountant by occupation was brought to casualty with - giddiness since 20 mins - slurring of speech since 3 days - weakness and tingling numbness of right upper and lower limbs. History of present illness: Patient was apparently asymptomatic 3 days back , then developed slurring of speech, which is sudden in onset and gradually progressive, not associated with drooling of saliva, no h/o difficulty in chewing & swallowing. -tingling and numbness of rt.hand &rt.foot since 3 days, insidious in onset, gradually ' progressive associated with weakness of rt upper limb & lower limb, slippage of foot wear, no h/ of difficulty in combing hair, difficulty mixing of food(+) since 2 days , giddiness since 20 mins, sudden in onset, rapidly progressive associated with loss of consciousness for 30secs-1 min, not associ