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MSRACLIN4-078

A 37 year old lady presents with a one day history of double vision. Upon examination you observe her right eye is medially deviated and she cannot look laterally with it. The remainder of cranial nerve, upper and lower limb neurological examination and fundoscopy is otherwise normal. She mentions some paraesthesia in her legs over the last 2 weeks and denies any headache or slurred speech.

What is the most likely diagnosis?

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