2 CASE PRESENTATION
A twenty-six-year-old male, resident of Kathmandu, Nepal, presented with
chief complaint of ringing sensation of right side of his body for 16
hours which was aggravated by walking. His past medical history includes
cervical spine tuberculosis from second to fourth cervical spine two
years back for which he took anti-tubercular medications for a total
duration of 12 months. Furthermore, he has a smoking history of five
pack years.
His vitals were within normal limit and a complete neurological
examination revealed a reduced power on his right arm (4/5) and right
leg (4/5).
A diffusion-weighted magnetic resonance imaging (DWI) of brain was done
which revealed abnormal high signal changes demonstrating restricted
diffusion involving the corona-radiata, posterior limb of internal
capsuleĀ and periventricular occipital lobe (FigureĀ 1) on the left side
which is consistent with left middle cerebral artery and posterior
cerebral artery territory infarction.