ABSTRACT

A 73-year-old man called an ambulance questioning whether he could be experiencing a stroke. He complained of noticing a left-sided facial droop while brushing his teeth 30 minutes earlier and his wife had immediately commented on this a few minutes later. The patient described difficulty closing his left eye and had pain over the left side of his face. He denied any limb weakness and his wife had not noticed any confusion or word-finding difficulties. His past medical history included hypertension and hypercholesterolaemia. He took regular 2.5 mg ramipril OD, 10 mg amlodipine OD and 20 mg atorvastatin OD. He lived with his wife and was independent for all activities. He was a retired casino manager, and an ex-smoker with a 40 pack year history. He drank around 10 units of alcohol per week.