A 72-year-old man is referred to the general medical clinic with a history of about 15 attacks of pins and needles in his left arm and leg over a period of 6 weeks. His GP is concerned that this patient will soon have a completed stroke despite already being on aspirin. Typical attacks lasted for about 5 minutes and there were no additional symptoms. On closer enquiry he said that the sensation started in his left foot and then, over a period of about 1 minute, spread ‘like water running up my leg’ to involve his whole leg and arm. Each attack was identical. His past medical history includes hypertension and ischaemic heart disease, for which he already takes aspirin. There are no abnormalities on neurological examination, but his blood pressure is 190/110 mmHg. Which of the following is the most likely diagnosis? Transient ischaemic attacks affecting the right hemisphere Recurrent deep white-matter microhaemorrhages Migraine equivalent Cerebral venous thrombosis Partial epileptic seizure affecting the right hemisphere
Posted on: Mon, 21 Jul 2014 14:39:09 +0000
Trending Topics
Recently Viewed Topics
© 2015