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treatment management miss diagnosis myasthenia gravis clinical feature powerpoint dementia approach clinical features alzeimers disease lewy body dementia frontotemporal dementia vascular dementia memory scale mmse investigation causes epilepsy antiepileptic drug valporate seizure management status epilepticu focal seizure generalised seizure stroke haemorrhagic stroke parenchymal hematoma evidence-based antihypertensive in stroke bhupendra shah