Abstract
A 58-year-old lady presented with sudden onset of right-sided weakness. The physical examination revealed right upper and lower limb power of grade 1/5 while the left side was grade 4/5. The Glasgow Coma Scale score was 9/15 (E2V2M5). She had a cardiovascular accident (CVA) with left hemiparesis 10 years ago but had good recovery afterwards. There was no significant deterioration in power over the left side as compared with that of the previous post-CVA recovery period. An urgent CT brain was performed in the accident and emergency department (Figures 1-3).
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