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Du ärkonsult på kirurgavdelningen. En 42-årig man som lagts in pga akut pankreatit några timmar tidigare har nu haft tilltagande balanssvårigheter och fallit vid några tillfällen. Han har blivit tilltagande förvirrad och man önskar därför att du gör en bedömning. I status finner du att pat är orienterad till person, men ej till tid och rum. Han är mycket orolig. Ögonen står något konvergenta och abduktionen är inskränkt åt båda sidor. Vid sidoblick ses en horisontal rotatorisk nystagmus. Pat har en uttalad balansrubbning och kan inte stå utan stöd. Babinskis tecken saknas bilat. Sensibiliteten kan ej bedömas, då pat inte medverkar.a) Vad bedömer du att patienten drabbats av?b) Vilken blir din första akuta åtgärd?
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