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J Neurol Neurosurg Psychiatry 2007;78:362 doi:10.1136/jnnp.2006.102046
  • Neurological picture

Involvement of the recurrent artery of Heubner with contralateral middle cerebral artery infarction

  1. Vijay K Sharma,
  2. Bernard P L Chan
  1. Division of Neurology, National University Hospital, Singapore
  1. Correspondence to:
 Dr V Sharma
 Department of Medicine, National University Hospital, 119074, Singapore; drvijay{at}singnet.com.sg

    An 86-year-old Chinese woman presented with left-sided weakness for 6 h. Her medical history included hypertension, ischaemic heart disease, atrial fibrillation and hypercholesterolaemia. She was conscious and communicative, with blood pressure 166/102 mm Hg and irregular pulse (102 beats/min). Examination showed right-gaze deviation and left-hemiparesis (Medical Research Council power grade 0 and 2 in the upper and the lower extremity, respectively, National Institute of Health Stroke Scale 11 points).

    Computed tomography of the brain showed hyper-dense right middle cerebral artery (MCA) and …

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