Investigations and work-up
Based on the clinical examination, a computerized tomography (CT) scan of the head and two dimensional echocardiography were requested. In addition, a blood sample was withdrawn and sent to the lab for estimation of hemoglobin, platelet count, electrolytes, urea, creatinine, and coagulation profile testing. CT scan showed an infarct in the left middle cerebral artery territory (Figure 1 to Figure 3), and echocardiography showed normal ventricular function. Similarly, all requested lab parameters were in the normal range, including coagulation parameters (prothrombin time, international normalized ratio, activated partial thromboplastin time, and prothrombin time index).