Clinical Reasoning: A 58-year-old man with right facial numbness

作者：Egan Kelsey A; Sevush Garcy Jennifer L; Lukovic Elvedin; Sherzai Ayesha Z; Yaghi Shadi^*

来源：Neurology, 2015, 85(16): e124-e127.

DOI：10.1212/WNL.0000000000002038

A 58-year-old man with a history of uncontrolled hypertension presented to the emergency department for evaluation of right facial numbness. He went to bed feeling normal and woke up with numbness and tingling in the right face limited to the right perioral area. He denied any associated neurologic symptoms or having similar experiences in the past. His medical history was significant for uncontrolled hypertension; surgical history was negative. Social history was pertinent for occasional alcohol use, but no smoking or drug use. Family history was significant for hypertension in both parents and essential tremor in his sister. His only home medication was oral lisinopril (10 mg daily).

• 出版日期2015-10-20