Open AccessCT Quiz: An Old Lady with Sudden Onset of Right‐Sided Weakness
Author(s) -
Chu CM,
Tong MMP
Publication year - 2008
Publication title -
hong kong journal of emergency medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.145
H-Index - 12
eISSN - 2309-5407
pISSN - 1024-9079
DOI - 10.1177/102490790801500410
Subject(s) - medicine , weakness , glasgow coma scale , emergency department , neurological examination , hemiparesis , coma (optics) , physical therapy , surgery , psychiatry , lesion , physics , optics
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).