23-Year-Old Female With Right-Sided Weakness and Aphasia

A 23-year-old right-handed woman developed sudden right-sided weakness, right-sided facial droop, and aphasia. She was in her usual state of health prior and presented 70 minutes after symptom onset. Just before symptom onset she had been bearing down for a bowel movement. Recently she had undergone a 6-hour car journey. Her medical history was significant for attention deficit disorder treated with lisdexamfetamine. She does not use any insulin or oral hypoglycemic medications. On presentation she was afebrile, her blood pressure was 130/77 mm Hg, and she had a heart rate of 89 beats/min and a respiratory rate of 16 breaths/min.
Source: Mayo Clinic Proceedings - Category: Internal Medicine Authors: Tags: Residents ’ clinic Source Type: research