Chapter

Case 3

Sarah Pendlebury, Ursula Schulz, Aneil Malhotra and Peter M. Rothwell

in Oxford Case Histories in TIA and Stroke

Published on behalf of Oxford University Press

Published in print January 2012 | ISBN: 9780199539345
Published online November 2012 | e-ISBN: 9780191753251 | DOI: http://dx.doi.org/10.1093/med/9780199539345.003.0032

Series: Oxford Case Histories

Case 3

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A 49-year-old man awoke in the morning with vertigo. He was very unsteady on walking, always veering to the left. He had developed hiccups and vomited on a few occasions. He spilt some hot water over his legs trying to make himself a cup of tea, but did not perceive the water as hot on his right leg. The patient had a history of hypertension, he was a smoker, and he had had a stroke with right-sided sensory loss 2 years before. On examination there was a left Horner's syndrome, reduced perception of pinprick and temperature on the left side of the face and the right side of the body, coarse gaze-evoked nystagmus to the left, and a left-sided ataxia.

Chapter.  1311 words.  Illustrated.

Subjects: Neurology

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