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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