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Delayed bilateral massive stroke following a road traffic accident
  1. I C Coulter,
  2. H Korsen
  1. Department of Emergency Medicine, James Cook University Hospital, Middlesbrough, UK
  1. Correspondence to Ian Coulter, Department of Emergency Medicine, James Cook University Hospital, Marton Road, Middlesbrough TS4 3BW, UK; ian.coulter{at}

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A 72-year-old man was found unresponsive. Initial assessment revealed a Glasgow Coma Score of 4 (E1, V1, M2) with equal and reactive small pupils. The patient's past medical history included alcohol excess, osteoarthritis and a transient ischaemic attack. Of note the patient was involved in a high speed road traffic accident 3 days prior, suffering only seemingly minor injuries.

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  • Contributors ICC wrote the article. HK reviewed and edited the manuscript and sourced the radiological images.

  • Competing interests None.

  • Patient consent Obtained from the next of kin.

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