Chapter

Case 10

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/9780199539345.003.0075

Series: Oxford Case Histories

Case 10

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A 74-year-old man was referred to the emergency TIA clinic with an episode of sudden onset of word-finding difficulty accompanied by right arm weakness that had gradually resolved after a couple of days. At the time of this event, he also reported some pain and difficulty using his left leg that had also gradually improved. The patient was not certain whether the left leg had been weak rather than just painful. There was a past history of type 2 diabetes and hypertension for which he was on treatment. On examination, pulse was regular, blood pressure was 145/85mmHg, and heart sounds were normal. There was slight hesitancy of speech and minor word-finding difficulties together with an extensor right plantar response.

Chapter.  1110 words.  Illustrated.

Subjects: Neurology

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