Chapter

Case 24

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/9780199539345.003.0150

Series: Oxford Case Histories

Case 24

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A 16-year-old boy skidded on a puddle while riding his motorbike. He fell and hit his head, but had been wearing a helmet, did not lose consciousness, and had no post-traumatic amnesia. The next morning, after having been observed in hospital overnight, he noticed that his left arm felt slightly numb and heavy. This was attributed to some bruising, and as he was otherwise well, he was discharged home. Some hours later, while watching TV, he suddenly complained of feeling unwell and a few moments later collapsed. He did not lose consciousness, but appeared vague. His parents noted slurred speech and a left-sided facial and arm weakness. They took their son back to the accident and emergency department where, on examination, pupillary asymmetry was found in addition to the left-sided weakness and sensory loss. There was no hemianopia and no neglect. The patient was admitted and a CT brain scan was organized (Fig. 24.1).

Chapter.  1507 words.  Illustrated.

Subjects: Neurology

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