Published 26 August 2009, doi:10.1136/bmj.b3204
Cite this as: BMJ 2009;339:b3204

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An unusual case of haemorrhagic stroke

Hani Marcus, speciality trainee in neurosurgery, Ibrahim Jalloh, speciality trainee in neurosurgery, Rhys Roberts, specialist registrar in neurology, Peter Martin, consultant in neurology

1 Department of Clinical Neurosciences, Cambridge University Hospitals NHS Foundation Trust, Cambridge CB2 2QQ

Correspondence to: H Marcus hani.marcus@gmail.com

The first 150 words of the full text of this article appear below.

A 50 year old right handed woman presented to the emergency department with her first generalised tonic clonic seizure, followed by a severe unremitting headache and neck stiffness. The seizure was preceded by a three week history of pain around the left ear and nausea, which her general practitioner had diagnosed as otitis media and had treated with a course of amoxicillin. She had no history of trauma and her medical history was otherwise unremarkable.

On examination the patient had a low grade fever but her pulse rate, blood pressure, respiratory rate, and oxygen saturation on air were all normal. She had also developed a global dysphasia and a right sided homonymous hemianopia. The patient’s head computed tomogramGo and digital subtraction angiogramGo are shown in the two images.


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  		Fig 1 The patient’s head computed tomogram

 


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  		Fig 2 The patient’s digital subtraction angiogram

 
1 What key signs are present on the . . . [Full text of this article]


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