Case presentation:
A 43-year-old man presented to our emergency department with a history
of impaired mentation, weakness of the left side of the body and unable
to speak for 5 hours with a past medical background of poorly controlled
hypertension. On examination his pulse rate was 46/ min, blood pressure
was 220/120 mm of Hg and Glasgow coma scale of 10/15(E2V3M5). Bilateral
pupils were equal in size with preserved pupillary response to the
light. Detailed examination revealed findings in accordance with
history. He had left sided weakness with decreased power(0/5), absent
deep tendon reflexes in the left upper and lower extremity with extensor
plantar response in left lower limb. He had no history of diabetes,
trauma, drug abuse and anticoagulant medication use.