64y/o M. Previous medical history of Arthritis. Presented wi | Figure 1

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Case Overview

64y/o M. Previous medical history of Arthritis. Presented with new onset Left sided Hemiplegia. Speech generally clear with intermittent slurring. Sight left sided droop unable to perform smile command, no tongue deviation noted. Absent sensation distal to left hip. Flat affect, Bilateral PERRLA. CT Brain showed large intraparenchymal hemorrhage involving R basal ganglia w/ extension into superior R temporal lobe and moderate surrounding edema. Measuring 5.3x3.9x4.4 with 0.8cm midline shift. Initially on Mannitol with EVD in place, removed on day 2. Day 7 repeat... see comment.