Case 41

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:

Series: Oxford Case Histories

Case 41

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A 69-year-old retired businesswoman was referred to the emergency TIA clinic on return from a holiday in Switzerland. Four days before returning to the UK, she had developed sudden onset of right facial droop, slurred speech, and difficulty in expressing herself although she was able to understand her husband. The speech difficulty lasted for 24 hours but the dysarthria and facial weakness persisted. There was a past history of Crohn's disease and this had flared up a couple of days prior to developing the neurological deficit. She also mentioned infrequent palpitations over the preceding 6 months. Additional past history included hypertension and renal impairment. She did not seek medical review in Switzerland, but took some additional Pentasa medication. Her medications were clopidogrel 75mg/day, folic acid 5mg/day, ramipril 5mg/day, and Pentasa MR 1000mg twice daily.

Chapter.  1072 words.  Illustrated.

Subjects: Neurology

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