A patient is broght to the emergency room suffering from nausea, vomiting, and abdominal pain. He has muscle weakness, which seems to be progressing downward from the head and neck. The patient has difficulty talking clearly and has ptosis and ophthalmoplegia. The most likely cause of these symptoms is

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A patient is broght to the emergency room suffering from nausea, vomiting, and abdominal pain. He has muscle weakness, which seems to be progressing downward from the head and neck. The patient has difficulty talking clearly and has ptosis and ophthalmoplegia. The most likely cause of these symptoms is