Wk 1, Case 1 - Practice

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69 y.o. male with a past medical history significant for HTN, HLD, MI (S/p stents 2016), and diabetes (on metformin) who presented to the ED for left-sided facial droop and upper/lower extremity weakness. Patient was in his usual state of health when he went to take a nap. His wife saw him walk into the bedroom at 3:00p (Last known normal) and heard him yelling for help when he woke up around 4:30p with left sided weakness.

What is the most likely diagnosis?

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Faculty

David M Yousem, MD, MBA

Professor of Radiology, Vice Chairman and Associate Dean

Johns Hopkins University

Joshua P Nickerson, MD

Associate Professor of Neuroradiology

Oregon Health & Science University

Francis Deng, MD

Assistant Professor of Radiology and Radiological Science

Johns Hopkins University School of Medicine

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Wk 1, Case 1 - Practice