Stroke Training and Awareness Resources (STARs)


Case 15

Clinical history and examination

Age: 59 years, Female.
Time of presentation: 03:00

History of event

  • Symptoms: reduced sensation over left cheek and left hand
  • Current time interval since last known well: 1 hr 10 mins (70 mins)

Past medical history

  • Hypertension
  • Diabetes
  • Smoker

Relevant medications

  • Bendroflumethiazide
  • Ramipril
  • Gliclazide

Relevant social history

  • Living circumstance: home with husband
  • Prior function and care needs: independent
  • Work/hobbies: civil servant, hill walking

Examination

  • Pulse: 90 reg,  BP: 155/90
  • Neuro:
    • Handedness: right handed
    • NIHSS: 3
    • Deficits: reduced pin prick  sensation on face and hand, slight facial droop, mild drift of left arm but normal hand function

Investigations requested with non imaging results

  • BM: 8.5mmol/l