Also noted were bilateral ptosis, bilateral abducens paralysis, facial diplegia, dysarthric speech, inability to protrude the tongue, and bilateral arm weakness that was more
[cdc.gov]
City was hospitalized January 2, 1982, 3 days after the onset of progressive neurologic symptoms that included dysphonia, dysarthria, dysphagia and dry mouth, dyspnea, and bilateral
[cdc.gov]