67 year old male
Smoker – 40 pack-years
Tingling sensation and numbness in right hand, progressing to whole of right upper limb within seconds. Complete resolution of symptoms within 30 minutes.
Recurrence of symptoms noted 2 hours later, with complete resolution in < 15 minutes.
Previous history of similar symptoms affecting the right upper and lower limb 8 weeks ago . Symptoms lasted < 24 hours.
The patient was admitted and managed on lines of acute ischemic stroke.
Tab Aspirin 100 mg OM was prescribed 1 week after discharge.
No weakness , visual symptoms , gait disturbance , speech abnormalities
No previous headache , falls/ head injuries
Hypertension , Hyperlipidemia
Tab Amlodipine 5 mg , Tab Atorvastatin 10 mg ON,
Tab Aspirin 100 mg OM, Tab Omeprazole 20 mg OM
→Full blood count , renal / liver panel , PT/aPTT, ESR: Normal
→Carotid US (Previous admission): Normal
→ECG, Echocardiogram and 24 Hour Holter (Previous admission): Normal