To cite: Parkinson MH, Patel R, Davagnanam I, et al. Pract Neurol 2014;14: 409–414. A 26-year-old woman presented after developing slurred speech and drooling overnight. She had a 6-month history of tiredness and poor concentration, and episodes of loss of consciousness accompanied by paraesthesia of her hands, feet and mouth. Occasionally, one arm would ‘hang in a strange way’. Her mother repo...