Chapter

Case 28

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/9780199539345.003.0171

Series: Oxford Case Histories

Case 28

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A 65-year-old man was referred to the neurology clinic for assessment of his recurrent ‘dizzy spells’. He described episodes of sudden-onset vertigo and nausea, which lasted between a few hours and some days. There were no other associated symptoms. He also had a history of migraine with aura, during which he developed slurred speech and word-finding difficulties, followed by a headache some hours later. The patient had had a single unprovoked generalized seizure 2 years earlier, but otherwise he had always been healthy. His brother had a stroke at the age of 49 years. Neurological examination was normal. The patient's MRI brain is shown in Fig. 28.1.

Chapter.  1292 words.  Illustrated.

Subjects: Neurology

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