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Images in emergency medicine
Images in emergency medicine
Acute neurology in the emergency department
  1. S C Mertes
  1. Correspondence to Dr Stephan Christian Mertes, Emergency Department, Royal Cornwall Hospital, Truro, Cornwall TR1 3LJ, UK; scmertes{at}gmail.com

https://doi.org/10.1136/emermed-2013-202634

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    A 66-year-old woman presented with sudden onset tearing interscapular pain 1 h after gentle neck exercises. Over the next 3 h, she developed flaccid left arm and leg paralysis and a left Horner's syndrome. Her initial CT scan revealed no evidence of cerebral ischaemia or aortic/carotid …

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    Footnotes

    • Competing interests None.

    • Patient consent Obtained.

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