A 55-year-old woman presented with her partner. She had slurring of speech, which started two days ago and lasted for up to two hours. She denied any visual disturbances and limb weakness. She was a heavy smoker and in the past, had high BP, but was not on any medication. She had no past history of diabetes, CHD or cerebrovascular accidents. She was not currently working. Her examination revealed moderately raised BP.
Her pupils were reacting equally to light bilaterally. Her speech was normal and there was no facial droop. Chest and cardiovascular examinations were satisfactory. Neurological examination showed abnormal facial nerve tests. She was unable to raise her eyebrows or wrinkle her forehead and there was loss of sensation on the forehead and cheeks. She had no ENT signs. The patient and her partner had stroke diagnosis in their mind and were ready to be sent to the hospital.…
