For 3 years this patient was aware of a twitching of the muscles around her left eye and a progressive left facial weakness.
这病人自觉她左眼周围肌肉的痉挛，和左脸逐渐无力，已3年了。
Three male patients aged 82, 56 and 60 years presented with cognitive impairment and hemiparesis, weakness of the tongue and facial muscles, and pain and weakness of the left arm, respectively.
三个82岁的男性患者，56和60年提出的认知障碍和偏瘫，虚弱的舌头和面部肌肉，并痛苦和软弱的左手臂分别。
Symptoms include weakness, difficulty eating, acute facial nerve paralysis, and megaesophagus.
症状包括虚弱、摄食困难、急性面部神经瘫痪和巨食管症。
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