1. From the list below, choose one pathology case from the list of New England Journal of Medicine (NEJM) case studies. 2. One study case, two peer-reviewed journal articles (within the past 5 years) and another case study with two peer-reviewed journal articles (within the past 5 years)

 Introduction: 150 – 200 words
In the case study titled “The eyes have it “ by Baudendistil et al (2012),]pg 938-943], the patient has been described as an elderly gentleman of 69 years who was presented to the emergency department about 2 hours after he was awake and had slurred speech .The symptoms initially appeared to be of focal neurologic deficit that was coupled with the possibility of acute stroke ,it appeared that that a thrombolytic therapy would be mostly appropriate. Slurred speech symptoms occur form a variety of causes attributed to the nervous system like lesions of the cortex, subsortex, brain stem, cerebellum along with the cranial nerves or even muscles controlling the speech. It can be due to basilar artery thrombosis etc. Numerous tests were performed on these lines, but the reports failed to conclusively point out to the desired outcome. The exact to typical symptoms of botulism were not expressed optimally by the patient and this particular case required a whole lot of examinations and differentiations to rule out tempting possibilities and select the most relevant diagnosis to identify the cause of the conditions.(193 words)
Question: 20 - 35 words
As has emerged from the case that Clostridium botulinum is the causative agent of the condition, so .how does the toxin act in the body to produce such symptoms? (28words)
Hypothesis: 15 - 25 words
As   the action of the toxin interferes with