ABSTRACT
History A 67-year-old man is bought into the accident and emergency department by ambulance with new left-sided limb weakness and a left facial droop. This started 40 minutes earlier while the patient was having a pint in his local pub. Complaining of dizziness for a short while, the patient suddenly fell from his bar stool. The concerned bar tender managed to help him to an armchair and noticed that he was slurring his words and could not use his left arm to help himself up. An ambulance was called, and during this time the patient developed a left-sided facial droop. He remained alert throughout but appeared anxious and disorientated.
