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Under the Indian Council of Medical Research (ICMR)\n                      National Ethical Guidelines for Biomedical and Health Research Involving Human Participants\n                      (2017) and institutional policy at Sigma Neuro Super Speciality Hospital, the Institutional Ethics Committee reviewed the case and determined that formal ethical approval was not required. This work was conducted in accordance with the Declaration of Helsinki and is reported in accordance with the CARE guidelines. Written institutional confirmation of the ethics determination will be available on request.","order":2,"name":"Ethics","label":"Ethical approval","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Written informed consent for publication of this case and the accompanying images were obtained from the patient's next of kin, the patient being deceased. 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