Abstract
A 57-year-old indigenous man from the Northern Territory, with a known history of hypertension and type 2 diabetes mellitus, presented with subacute onset of right-sided pyramidal weakness and sensory disturbance. He also complained of global but non-specific headache without any nausea or vomiting. On examination, he was apyrexic, alert and orientated. General and cranial nerve examination was unremarkable. Upper and lower limb strength was 3 to 4/5 with a pyramidal distribution more pronounced in the right arm than leg, together with abnormal sensory findings of loss of joint position sense and astereognosis in the right hand.
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