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A man in his 70s presented with left-sided weakness and gait impairment that had developed over 8 hours. On examination, there was a left-sided hemiparesis and ataxia, leading to a clinical diagnosis of an ataxic hemiparesis lacunar stroke syndrome. CT scan of the head showed multiple punctiform hyperdensities at the temporal poles and cerebellum but no definite ischaemic changes (figure 1).
Footnotes
Contributors JBC is the guarantor. JBC and VMF both contributed equally as first authors with case description and literature review. MS and FS provided case review and literature review.
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.
Provenance and peer review Not commissioned; externally peer reviewed by Paul Smith, Bristol, UK.