A 68-year-old Vietnamese man with history of hypertension and ischemic heart disease presented to ED of Can Tho SIS Hospital with sudden-onset right-sided weakness and slurred speech starting 7 hours before the presentation.
Clouding of consciousness and 2/5 grade of muscle strength testing were noted.
He got normal pupil sizes and the pupillary light reflex.
He denied dyspnea, dysphagia, fever, chest pain or palpitations
His vital signs include temp: 37.5 degrees Celsius, HR: 86 bpm, SpO2: 98%, BP: 150/80 mmHg, RR: 24 per minute
His NIHSS score was calculated as 7.
MRI angiogram of head and neck reported an occlusion of the basilar artery and PCA both sides , and severe stenosis of left ICA.
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