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Acute onset left arm weakness, gait difficulty, aphasia

Presentation

A 70-year-old woman presented to the emergency room with an acute onset of left arm weakness, difficulty walking and slurred speech. Significant findings on physical exam included blood pressure of 180/100 mm Hg, dysarthria and decreased motor strength in left upper and lower extremities. Her laboratory values were within normal limits.

Images

CT of the head
Magnetic resonance imaging
Magnetic resonance angiography

Description of Findings

Full case report

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