RT Journal Article SR Electronic T1 A case of collapse JF Clinical Medicine JO Clin Med FD Royal College of Physicians SP 592 OP 593 DO 10.7861/clinmedicine.13-6-592 VO 13 IS 6 A1 Aravinthan Varatharaj A1 Fraser Gordon A1 Peter Williams YR 2013 UL http://www.rcpjournals.org/content/13/6/592.abstract AB We describe the case of a woman who presented with seemingly non-specific symptoms, including collapse, but through examination was eventually revealed to have an unusual, potentially fatal, but treatable neurological condition. We share some thoughts on the process of diagnosis, the difficulty of diagnosing a rare disease and the practice of neurology on the acute medical take. We also highlight the value of screening neurological examination in acute medical patients.