3/7/23; This is an online e log book to discuss our patient de-identified health data shared after taking his / her / guardians signed informed consent. Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evident based input. This E blog also reflects my patient centered online learning portfolio and your valuable inputs on the comment box is welcome A 52 year male, resident of lingotam,farmer by occupation came to the casualty with chief complaints of; Involuntary movements of the right lower limb since morning(6:00am); Numbness of right lower limb History of presenting illness; Patient was apparently asymptomatic till today morning(6:00am) when he started developing involuntary movements of the right lower limb which were sudden in onset intermittent in type and gradually progressing in nature extending upto right half of trunk.Con