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A normally healthy 52-year-old man developed a sudden-onset, left-sided frontal headache with intermittent sharp pain radiating to the left temple. A milder dull headache persisted for the next 2 weeks, when he suddenly developed slurred speech and difficulty chewing food in the left side of his mouth, leading him to present to the emergency department.
There was no history of head or neck trauma. He was a non-smoker with no known cardiovascular risk factors or other significant medical history. On examination, he had mild hypertension (148/94 mm Hg), mild lingual dysarthria and deviation of the tongue to the left, consistent with a left …
Contributors PJ and DB contributed to writing the manuscript.
Competing interests None declared.
Provenance and peer review Not commissioned; externally peer reviewed. This paper was reviewed by Tom Hughes, Cardiff, UK.