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arterial disease. Fitness for trial Physically: Senator Pinochet would at present be able to attend a trial but as features of cerebrovascular damage have progressed despite optimal treatment (with good control of diabetes and blood pressure and antiplaseler agents) further deterioration in both physical and mental condition is likely. Mentally: It is our view that Senator Pinochet would not at the present be mentally capable of meaningful participation in a trial. We base this opinion on: 1. Memory defecit for both recent and remote events. 2. Limited ability to understand complex sentences and questions owing to memory impairment and consequent inability to process verbal information appropriately. 3. Impaired ability to express himself audibly, succinctly and relevantly. 4. Easy fatiguability With these impediments he would be unable to follow the progress of a trial sufficiently to instruct counsel. He would have difficulty in understanding the content and implications ...

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from these events to have taken place. Although some day to day fluctuation in functional abilities is characteristic of brain damage due to cerebrovascular disease we consider further sustained functional improvement of a significant degree unlikely. Background - the rest of the report: Professor Sir John Grimley Evans, Dr M J Denham, and Professor Andrew Lees undertook a clinical consultation with Senator Pinochet at Norwick Park Hospital on January 25th 2000. The consultation was undertaken in Spanish. Also present: Dr Henry Olivi (Observer) Prof. D J Thomas (Observer) Nurse Shelley Cape, Manuel Cerda (Senator Pinochet's valet) Recent Medical History: Following surgical decompression of ...

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