At least one of the following symptoms of cranial neuropathy: |
Blurred vision |
Double vision |
Difficulty speaking, including slurred speech |
Any change in sound of voice, including hoarseness |
Dysphagia/pooling of secretions/drooling |
Thick tongue sensation |
PLUS at least one of the following signs of neuropathy: |
Ptosis |
Signs suggestive of extraocular neuropathy |
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Signs suggestive of facial neuropathy |
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Fixed pupils (not including abnormally or sluggishly reactive pupils) |
Descending paralysis, beginning with cranial nerves |
PLUS lack of fever (temperature ≤37.8°C or ≤100.4°F) |
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