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A cyclist with a focal neurological episode

¹ Consultant Neurologist
² Consultant Geriatrician
³ Quean Margaret Hospital, Dunfermline, UK

Correspondence to:
Dr M Connor, Consultant Neurologist, Queen Margaret Hospital, Dunfermline KY12 0SU, UK; mconnor@staffmail.ed.ac.uk

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

A 48-year-old right-handed man presented to a district general hospital accompanied by his wife. Since childhood he had had migraine with visual aura. Over the last few years he had continued to experience his usual auras infrequently but these were now seldom followed by headache and readily managed with simple analgesia. He was in excellent health, although perhaps exercising less than he had previously. He was not taking any regular medication, did not smoke or drink alcohol excessively, and he had no family history of note.

On the day of presentation, he had been cycling to work when he developed his typical visual aura, but he continued cycling. After a few minutes he reached the security entrance. At that stage he noticed that his right arm was not quite right and he had difficulty swiping his security pass. He felt vaguely disorientated and was unable to greet the security officer. . . . [Full text of this article]

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