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A 52-year-old woman visited the neurologist because of drooping eyelids, which had not changed much over the past 10 years. She felt socially disabled because of the constant need to tilt her head upwards. Old photographs showed slight drooping from her mid-teens onwards. At one point she had experienced transient double vision. Speaking, swallowing, and limb muscle strength were reportedly normal. The family history was negative.
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