tracing back history,he suffered from left side limbs numbness since 2019/09.other symptoms inclouded diplopia ,especially under strong light and dim light,intermittrnt dysphagia and right eye tenderness.His right eye tendeness was described as:location:right.upper eye,pulsatile and radiated to right occipatal lobe headache occurs nearly everyday. Vnsteady gait(due to weakness,and fall over many times)and memory declince(progressed in recent one month)were mentioned.Patient also had dysphagia and dysarthria,so he is damitted to Neurology ward.The brain MRI(magnetic reasonance image)revealed recent infarct in the right parietotemporal and redular Rehab.OPD follow-up. His NG tube was removed at 慧德 on 2019/10.no choking was noticed after trying oral intake. The left limbs presented with flaccid status.For the reason for improving functional performance and preventing complications.he was admitted to our ward for intensive inpatient rehabilitation