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When Victor Sharrah woke up one day in November 2020, he feared he was in some sort of “demonic world”.

When he looked at people’s faces, they appeared “demon-like”, with their ears, noses and mouths stretched back, and with deep grooves in their foreheads, cheeks and chins.

“You can’t imagine how scary it was,” the 59-year-old, from Clarksville, Tennessee, said.

What he was actually seeing were distortions, caused by an incredibly rare neurological disorder, known as prosopometamorphopsia, or PMO.

Even more unusual in the case of Mr Sharrah was that, when he looked at a phone or computer screen, people’s faces appeared normally.

That gave scientists an interesting opportunity to put Mr Sharrah at the centre of an interesting new study – the results of which were recently published in respected medical journal, The Lancet.

For the first time, researchers were able to recreate these rare PMO distortions in the form of pictures.

Victor Sharrah was seeing distortions, caused by an incredibly rare neurological disorder, known as prosopometamorphopsia, or PMO. Here is a depiction of what he was seeing. Pic: Antonio Mello/The Lancet.
Image:
Pic: Antonio Mello/The Lancet.

Victor Sharrah was seeing distortions, caused by an incredibly rare neurological disorder, known as prosopometamorphopsia, or PMO. Here is a depiction of what he was seeing. Pic: Antonio Mello/The Lancet.
Image:
Pic: Antonio Mello/The Lancet.

“As the patient reported no distortion when viewing facial images on a screen or on paper, we asked him to compare an in-person face to a photograph of the face taken in the same room under identical lighting conditions,” the authors said in their report.

“By alternating between observing the in-person face perceived as distorted and the photo on a computer screen-perceived as undistorted, he provided real-time feedback on the perceived differences.

“We then used image-editing software to modify each photo until it matched his in-person perception.”

What is PMO?

There are reportedly fewer than 100 published case reports of PMO, and scientists don’t fully understand what triggers it.

However, they suspect it is caused by dysfunction in the brain network that handles facial processing.

The distortions can vary from case to case, with other people reporting seeing people with droopy or off-set eyes, and others reporting seeing “witch-like” features.

Interestingly, unlike a person experiencing hallucinations due to a mental disorder, a person with PMO is aware that what they are seeing is a distortion or that something is wrong with their vision.

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According to NBC, the US partner of Sky News, researchers offered two possible triggers in the case of Mr Sharrah.

The first was that he had carbon monoxide poisoning four months before his PMO symptoms started.

The second was he had endured a significant head injury 15 years earlier while hitting his head on concrete, with MRI scans showing a lesion on the left side of his brain.

Mr Sharrah also has a history of bipolar affective disorder and post-traumatic stress disorder, according to the study.

Victor Sharrah was seeing distortions, caused by an incredibly rare neurological disorder, known as prosopometamorphopsia, or PMO. Here is a depiction of what he was seeing. Pic: Antonio Mello/The Lancet.
Image:
Pic: Antonio Mello/The Lancet.

Victor Sharrah was seeing distortions, caused by an incredibly rare neurological disorder, known as prosopometamorphopsia, or PMO. Here is a depiction of what he was seeing. Pic: Antonio Mello/The Lancet.
Image:
Pic: Antonio Mello/The Lancet.

Though PMO symptoms often resolve after a few days or weeks, they can linger for years, and Mr Sharrah said he still sees demonic faces.

‘I came close to having myself institutionalised’

He has found ways to cope with his condition, including living with a roommate and her two kids, which he said has been helpful, because he’s used to having people around, so he isn’t as spooked when he sees new faces in public.

According to NBC, he also finds that green light alleviates his symptoms, so he sometimes wears glasses with green-tinted lenses when he’s in crowds.

Mr Sharrah wants others to know they can manage the condition.

“I came so close to having myself institutionalised,” he added.

According to the study’s lead author, Antonio Mello, a PhD student who works in Dartmouth’s Social Perception Lab, many doctors aren’t aware of PMO and may misdiagnose people with mental health disorders instead.

As a result, some PMO patients have been prescribed medications for schizophrenia or psychosis, which aren’t appropriate for their condition, he added.

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Donald Trump sending ‘top of the line’ weapons to support NATO in Ukraine war

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Donald Trump sending 'top of the line' weapons to support NATO in Ukraine war

Donald Trump has agreed to send “top of the line weapons” to NATO to support Ukraine – and threatened Russia with “severe” tariffs if it doesn’t agree to end the war.

Speaking with NATO secretary-general Mark Rutte during a meeting at the White House, the US president said: “We’ve made a deal today where we are going to be sending them weapons, and they’re going to be paying for them.

“This is billions of dollars worth of military equipment which is going to be purchased from the United States, going to NATO, and that’s going to be quickly distributed to the battlefield.”

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Donald Trump and NATO secretary general Mark Rutte in the White House. Pic: Reuters
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Pic: Reuters

Weapons being sent include surface-to-air Patriot missile systems and batteries, which Ukraine has asked for to defend itself from Russian air strikes.

Mr Trump also said he was “very unhappy” with Russia, and threatened “severe tariffs” of “about 100%” if there isn’t a deal to end the war in Ukraine within 50 days.

The White House added that the US would put “secondary sanctions” on countries that buy oil from Russia if an agreement was not reached.

Later on Monday, Ukrainian leader Volodymyr Zelenskyy thanked Mr Trump and said he was “grateful” for the US president’s “readiness to help protect our people’s lives”.

Analysis: Will Trump’s shift in tone make a difference?

As ever, there is confusion and key questions are left unanswered, but Donald Trump’s announcement on Ukraine and Russia today remains hugely significant.

His shift in tone and policy on Ukraine is stark. And his shift in tone (and perhaps policy) on Russia is huge.

Read Mark’s analysis here.

After criticising Vladimir Putin’s “desire to drag it out”, he said he appreciated “preparing a new decision on Patriots for Ukraine” – and added Kyiv is “working on major defence agreements with America”.

It comes after weeks of frustration from Mr Trump over Mr Putin’s refusal to agree to an end to the conflict, with the Russian leader telling the US president he would “not back down” from Moscow’s goals in Ukraine at the start of the month.

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Trump threatens Russia with ‘severe’ tariffs’

During the briefing on Monday, Mr Trump said he had held calls with Mr Putin where he would think “that was a nice phone call”, but then “missiles are launched into Kyiv or some other city, and that happens three or four times”.

“I don’t want to say he’s an assassin, but he’s a tough guy,” he added.

Earlier this year, Mr Trump told Mr Zelenskyy “you’re gambling with World War Three” in a fiery White House meeting, and suggested Ukraine started the war against Russia as he sought to negotiate an end to the conflict.

After Mr Trump’s briefing, Russian senator Konstantin Kosachev said on Telegram: “If this is all that Trump had in mind to say about Ukraine today, then all the steam has gone out.”

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Meanwhile, Mr Zelenskyy met with US special envoy Keith Kellogg in Kyiv, where they “discussed the path to peace” by “strengthening Ukraine’s air defence, joint production, and procurement of defence weapons in collaboration with Europe”.

He thanked both the envoy for the visit and Mr Trump “for the important signals of support and the positive decisions for both our countries”.

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Trump is clearly fed up with Putin – but will his shift in tone force Russia to the negotiating table?

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Trump is clearly fed up with Putin - but will his shift in tone force Russia to the negotiating table?

As ever, there is confusion and key questions are left unanswered, but Donald Trump’s announcement on Ukraine and Russia today remains hugely significant.

His shift in tone and policy on Ukraine is stark. And his shift in tone (and perhaps policy) on Russia is huge.

Ever since Mr Trump returned to the White House he has flatly refused to side with Ukraine over the Russian invasion.

He has variously blamed Ukraine for the invasion and blamed Joe Biden for the invasion, but has never been willing to accept that Russia is the aggressor and that Ukraine has a legitimate right to defend itself.

Today, all that changed. In a clear signal that he is fed up with Vladimir Putin and now fully recognises the need to help Ukraine defend itself, he announced the US will dramatically increase weapons supplies to Kyiv.

Donald Trump meets with NATO Secretary General Mark Rutte in the White House. Pic: Reuters
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Pic: Reuters

But, in keeping with his transactional nature and in a reflection of the need to keep his isolationist “America-First” base on side, he has framed this policy shift as a multi-billion dollar “deal” in which America gains financially.

American weapons are to be “sold” to NATO partners in Europe who will then either transfer them to Ukraine or use them to bolster their own stockpiles as they transfer their own existing stocks to Kyiv.

“We’ve made a deal today,” the president said in the Oval Office. “We are going to be sending them weapons, and they are paying for them. We are manufacturing, they are going to be paying for it. Our meeting last month was very successful… these are wealthy nations.”

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What will Trump’s weapons deal mean for Ukraine?

This appears to be a clever framing of the “deal”. Firstly, America has always benefited financially by supplying weapons to Ukraine because much of the investment has been in American factories, American jobs and American supply chains.

While the details are not entirely clear, the difference now appears to be that the weapons would be bought by the Europeans or by NATO as an alliance.

The Americans are the biggest contributor to NATO, and so if the alliance is buying the weapons, America too will be paying, in part, for the weapons it is selling.

However, if the weapons are being bought by individual NATO members to replenish their own stocks, then it may be the case that the US is not paying.

NATO officials referred all questions on this issue to the White House, which has not yet provided clarity to Sky News.

It is also not yet clear what type of weapons will be made available and whether it will include offensive, as well defensive, munitions.

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Will Trump’s deal make a difference?

A key element of the package will likely be Patriot missile batteries, 10 to 15 of which are believed to be currently in Europe.

Under this deal, it is understood that some of them will be added to the six or so batteries believed to be presently in Ukraine. New ones would then be purchased from US manufacturers to backfill European stocks. A similar arrangement may be used for other weapons.

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The president also issued the Russian leader with an ultimatum, saying that Putin had 50 days to make a peace deal or else face 100% “secondary tariffs”. It’s thought this refers to a plan to tariff, or sanction, third countries that supply Russia with weapons and buy Russian oil.

This, the Americans hope, will force those countries to apply pressure on Russia.

But the 50-day kicking of the can down the road also gives Russia space to prevaricate. So, a few words of caution: first, the Russians are masters of prevarication. Second, Trump tends to let deadlines slip. And third, we all know Trump can flip-flop on his position repeatedly.

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‘Trump sides with the Ukrainian cause’

Maybe the most revealing aspect of all this came when a reporter asked Mr Trump: “How far are you willing to go if Putin sends more bombs in the coming days?”

“Don’t ask me questions like that…”

Mr Trump doesn’t really know what to do if Mr Putin continues to take him for a ride.

Mr Biden, before him, supplied Ukraine with the weapons to continue fighting.

If Mr Trump wants to end this, he may need to provide Ukraine with enough weapons to win.

But that would prolong, or even escalate, a war he wants to end now.

There’s the predicament.

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‘Disgusting’ antisemitic and racist messages posted on Elmo’s X page by hacker

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'Disgusting' antisemitic and racist messages posted on Elmo's X page by hacker

An X account for the Sesame Street character Elmo has been targeted by an unknown hacker who posted antisemitic and racist messages.

The profile is followed by more than 650,000 users on the social network – and usually posts upbeat and motivational updates.

Sunday’s messages, which have since been deleted, called for violence against Jews, insulted Donald Trump, and referred to alleged files related to Jeffrey Epstein.

In a statement, Sesame Workshop said the X account has now been secured – and described the posts uploaded to Elmo’s page as “disgusting”.

This is the latest controversy to befall Elon Musk’s platform in recent days.

Last week, X’s AI chatbot Grok also produced content with antisemitic tropes, which were later removed and denounced as “inappropriate”.

Musk purchased the website, formerly known as Twitter, back in 2022 – with extremist content increasing against a backdrop of less moderation.

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The Anti-Defamation League, a US organisation that fights antisemitism, said: “It’s appalling that Elmo’s official account, known for spreading kindness, was hacked solely to spread violent antisemitism.”

“Antisemitism on social media fosters the normalisation of anti-Jewish hate online and offline – and contributes to an increasingly threatening environment for Jewish people everywhere.”

Elmo’s account has not posted since the hack.

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