PMC4772938_01
(A-C) Sequential snapshots from video demonstrating involuntary movements with closure of both eyes and lower-lip biting.. Note: Lower-lip ulcer can be clearly seen in (A).
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Examination revealed orofaciolingual dyskinesias mimicking suckling and grimacing, and lower-lip ulcer because of repeated biting (Figure 1).
Peripheral blood smear showing acanthocytes (red arrows).
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Peripheral smear examination performed following standard protocol showed acanthocytes (Figure 2) and magnetic resonance imaging showed degenerative changes in basal ganglia (Figure 3).
MRI showing caudate atrophy and striatal hyperintensities in both T2WI and FLAIR sequences.. Abbreviations: MRI, magnetic resonance imaging; T2WI, T2 weighted image; FLAIR, fluid attenuated inversion recovery; RAH, right anterior head position.
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Peripheral smear examination performed following standard protocol showed acanthocytes (Figure 2) and magnetic resonance imaging showed degenerative changes in basal ganglia (Figure 3).