A 59-year-old woman presented with recurrent vomitting, problem with speech and swallowing difficulty for 2 days with sudden onset of bilateral upper and lower limb weakness. She did not have dizziness, vertigo, headache or neck pain. There was no recent history of head and neck trauma. She had an ischaemic stroke in 2016 with weakness in the left face, left upper limb and left lower limb. She was diagnosed with lacunar stroke but had full neurological recovery. She had a history of hypertension and diabetes mellitus with poor glycaemic control.
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