{"ops":[{"insert":"A 71 year old woman presents with rapidly progressive weakness of her right upper and lower limbs for 1 hour, along with pain in the back of her neck. There was no history of antecedent trauma.\n\nHer medical history is significant only for hypertension for 5 years, which is well controlled on ramipril alone.\n\nA random capillary glucose is found to be 130 mg\/dl, as is her electrolyte profile, renal functions and liver functions.\n"},{"insert":"\n"},{"insert":{"image":"\/storage\/case-images\/pd\/PD-S-063_en.png"}},{"insert":"\n"}]}
2
Investigate
Lumbar Puncture
{"ops":[{"insert":"You realize that a lumbar puncture might not be a good idea.\n"}]}
MRI + MRA Brain
{"ops":[{"insert":"The MRI scan of the brain reveals no features suggestive of hemorrhage or infarction; MRA reveals no features suggestive of arterial dissection.\n"}]}