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.