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A hyperdense dot
  1. Shing Ching,
  2. Soo Moi Ting
  1. Accident and Emergency Department, United Christian Hospital, Kowloon, Hong Kong
  1. Correspondence to Dr Shing Ching, Accident and Emergency Department, United Christian Hospital, Kowloon, Hong Kong; aj12029{at}gmail.com

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Clinical introduction

A 91-year-old man presented to the emergency department with drowsiness and right-sided weakness. He was last seen well 5 h ago. On examination, his GCS was E2V2M4; eyes were deviated to the left. Right upper motor neuron type facial nerve palsy, right-sided hypertonia and hyperreflexia were apparent. The initial non-contrast CT of the …

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