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A 39-year-old woman presented with vertigo and difficulty controlling her right side. She had a right-sided Horner’s syndrome, gaze-evoked horizontal nystagmus with the fast-beating phase to the left, and right upper and lower limb ataxia with reduced temperature sensation to the left side of her face, arm and leg. MR scan of brain showed a right lateral medullary infarct secondary to a dissection of the right vertebral artery (figure 1). A week after her stroke, she noticed increased sweating on the left side of …
Contributors Professor Phan and Professor Ma conceived the idea for the case report. Dr Thirugnanachandran obtained the images. All authors were involved in writing the case report.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Patient consent for publication Obtained.
Provenance and peer review Not commissioned; externally reviewed by Gordon Ingle, London, UK.