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A48-year-oldfootballrefereepresentedwitha6-weekhistoryofbilateraldistallegweakness,numbness,andworseningmobility,anda4-weekhistoryoftinglinginallfingers.Sixmonthsearlierhehadnotedboutsofgeneralizedtirednesslastingminutesatatimealthoughhehadcontinuedto







































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