Chapter

Case 42

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/9780199539345.003.0256

Series: Oxford Case Histories

Case 42

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A 67-year-old man was taken to the accident and emergency department. His wife had found him lying on the floor in the living room. He was initially unconscious, but within the next 15 minutes woke up, and appeared restless and confused. He had a right hemiparesis and also had word-finding difficulties. The patient had a history of hypertension, and he was on warfarin for PAF. This had been started 6 months previously when he had had a left MCA infarction from which he had made a good recovery, although he still had some persisting mild right-sided weakness. There was no history of other medical problems. The patient's medication included antihypertensives and a statin in addition to warfarin.

Chapter.  1030 words. 

Subjects: Neurology

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