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Images in emergency medicine
An 80-year-old man with acute onset of right upper limb weakness
  1. Ming-Shun Hsieh1,
  2. Ying-Ying Hung2,
  3. Sung-Yuan Hu1,3,
  4. Yu-Tse Tsan1,3
  1. 1Department of Emergency Medicine, Taichung Veterans General Hospital, Taichung, Taiwan
  2. 2Department of Radiology, Taichung Veterans General Hospital, Taichung, Taiwan
  3. 3School of Medicine, Chung Shan Medical University, Taichung, Taiwan
  1. Correspondence to Dr Yu-Tse Tsan, Department of Emergency Medicine, Taichung Veterans General Hospital, No. 160, Sec. 3, Chung-Kang Rd., Taichung, Taiwan 40705, Republic of China; janyuhjer{at}gmail.com

https://doi.org/10.1136/emermed-2012-201826

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    An 80-year-old man with a history of hypertension was referred under the suspicion of stroke. He suffered from acute onset of right upper limb weakness 4 h before presenting to our emergency department. He did not have dysarthria, facial palsy or positive pronator sign. But decreased right radial pulse and cold upper limb with cyanosis were noted. Emergent CT angiography was performed …

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    Footnotes

    • Contributors M-SH took care of this patient and wrote the manuscript. Y-TT and S-YH obtained the correct diagnosis and performed prompt treatment for this patient. Y-YH helped in CT image and clinical data collection. All authors helped to interpret findings and review the drafts of the manuscript.

    • Competing interests None.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; internally peer reviewed.