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Practical Neurology 2007;7:342-345; doi:10.1136/jnnp.2007.131284
Copyright © 2007 by the BMJ Publishing Group Ltd.

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Confusion after a game of bridge

Will Whiteley, Research Fellow1 and Martin Dennis, Professor of Stroke Medicine1

1 Department of Clinical Neurosciences, Western General Hospital, Edinburgh, UK

Correspondence to:
Correspondence to:
Dr W Whiteley
Department of Clinical Neurosciences, Western General Hospital, Crewe Road, Edinburgh EH4 2XU, UK; wwhitele@staffmail.ed.ac.uk

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

A 54-year-old woman was referred to our emergency department by an out-of-hours general practitioner. Her friend, who accompanied her, gave the history. She had been forgetful and anxious for two weeks, first noticed the day after her return from a bridge-playing holiday. She constantly checked the clothes she was wearing, had forgotten that she had recently had solar panels fitted to the roof of her house, and that she had been on holiday. She had had one episode of visual disturbance a few days before admission; although unable to describe her symptoms in detail, she had consulted an optician who had found a left superior homonymous quadrantanopia (she brought the results of her visual field test with her). She had a history of hypertension, treated with losartan and hydrochlorthiazide, and was an ex-smoker. She had recently retired from a professional career in continental Europe.

On examination she was hypertensive (160/100 . . . [Full text of this article]

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