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Pseudoperipheral tongue weakness
  1. Raffaele Iorio1,
  2. Marco Luigetti1,
  3. Aldobrando Broccolini1,
  4. Fabio Pilato1,
  5. Paolo Profice1,
  6. Giacomo Della Marca1,
  7. Roberta Morosetti1,
  8. Francesco Snider2,
  9. Vincenzo Di Lazzaro1
  1. 1Institute of Neurology, Department of Neurosciences, Catholic University, Rome, Italy
  2. 2Vascular Surgery Institute, Catholic University, Rome, Italy
  1. Correspondence to Professor Vincenzo Di Lazzaro, Department of Neurosciences, Institute of Neurology, Catholic University, L.go F.Vito, 1, Rome 00168, Italy; vdilazzaro{at}

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A 76-year-old man developed an acute transient neurological deficit characterised by abrupt left face and arm weakness with a complete recovery in about 3 h. The brain CT scan was negative, and the blood pressure was 160/95 mm Hg on first evaluation. The patient was admitted to the hospital in consideration of the high risk for stroke predicted by a value of 6 for the ABCD score: (1) duration of deficits longer than that of a typical TIA, which usually lasts less than 1 h; (2) motor deficits; (3) …

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  • Competing interests None.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.