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A 60 year old man with hypertension and diabetes mellitus sought neurological consultation for sudden onset of numbness over the left side of body. On examination, he was conscious and had dysarthria. Right lingual paresis was observed on tongue protrusion (fig 1A). The other neurological findings included left lemniscal sensory impairment and mild left haemiparesis without facial involvement (fig 1B). The presence of crossed neurological …
Competing interests: none declared
Consent has been obtained for figure 1.