Case 44

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 44

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A 46-year-old woman was referred to the TIA clinic. She had a long history of migraine, with attacks occurring approximately four times per year. She usually had no aura, apart from one episode of dysphasia associated with a migraine attack 13 years earlier. Two weeks prior to her clinic attendance she had developed her usual migraine headache, which 2 hours later was followed by a sudden onset of dysarthria. She described that she had found it difficult to move her tongue and jaw. This persisted until the next morning. She had also been aware of pins and needles affecting the right side of her face, but this only lasted for a few seconds. The patient had an MRI scan of her brain (Fig. 44.1).

Chapter.  1147 words.  Illustrated.

Subjects: Neurology

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