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Clinical Case:

A 62 year old man presents to hospital with sudden onset neurological symptoms affecting one side of his body. He is taken for an emergency Computed Tomography scan of his brain which is shown below.

He has a history of type II diabetes and atrial fibrillation for which he takes warfarin, metformin and ramipril.

He works as a bus driver.

CT Brain
CT Brain (image used and modified by medical educator under a GNU licence courtesy and thanks to Lucien Monfils)

I have a number of  questions for discussion:

»Where are the motor/sensory symptoms likely to be

»What’s most likely to have caused them

»Assuming he’s right handed what other symptoms/ difficulties of higher cerebral function may he be suffering from (calculation/ spatial awareness etc).

Answers published after students have a chance to contribute to the blog

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