Muneera is 25-year-old art teacher she is a wife with 2 kids (son 4y/o) ( daughter 2 weeks).
There’s no known comorbidities, and history of cesarean section 10 days back, presented to the emergency department with a right-sided upper and lower limb weakness and sensory loss for one day and the doctor informed here that she had a TIA ( Transient Ischemic Attack) after few days she had the same symptoms and got to the emergency department and that was a second TIA.
One day after the two TIAs she experienced a sudden weakness in her right arm and leg .On examination, she was of average height and build, well oriented, and lying comfortably in the bed. Her temperature was 38.6 o and blood pressure was 110/70 mmHg, pulse was 90 beats per minute, and respiratory rate was 20 breaths per minute. On systemic examination her Glasgow Coma Scale (GCS) was 15/15; however, the power of the right upper and lower limb was 0/5 and upgoing right plantar. She also had a loss of all sensations in the right upper and lower limb. Other systems were unremarkable on examination.
According to the patient, she was in her usual state of health when she suddenly developed right-sided weakness and sensory loss that was not associated with fits, fever, or headache. There was no family history of early-onset stroke.
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