Conclusion and results

Following the history, examinations, investigations, and diagnosis of MMD. The patient was given IV Normal Saline 3% along with IV Mannitol 200 ml to reduce the swelling in the brain as seen in MRI MRA and MRV finding. (Figure1, 2 and 3) The aetiology was not well understood for so aspirin 150 mg/day was suggested to decrease the embolic events which might even worsen the condition. Following aspirin and weakness and facial deviation subsequently subsided. Follow up was done subsequently, in which the patient’s weakness and facial deviation have decreased and patient can walk independently without any support.