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Specifically, regarding basilar artery occlusion (BAO), a feared subset of PSC more famously known for its potential of resulting in locked in syndrome, oculomotor palsies, truncal and limb ataxia, oropharyngeal dysfunction and limb weakness are found to be the most common signs that can be found on exam.4 It is also prudent to be wary of atypical nystagmus (such as vertical or alternating horizontal) as a potential signal for posterior circulation injury

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For a lot of patients, the first several days are the most noticeable