Case history

Case history

A 70-year-old man with a history of chronic hypertension and atrial fibrillation is witnessed by a family member to have nausea, vomiting, and right-sided weakness, as well as difficulty speaking and understanding speech. The symptoms started with only mild slurred speech before progressing over several minutes to severe aphasia and right arm paralysis. The patient is taking warfarin.

Other presentations

Headache may accompany intracerebral hemorrhage, but its absence does not rule out the diagnosis.[3]

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