Seems three days prior while driving this young man had sudden vertigo while driving and had to pull the car over for a bit. No headache, but also noticed, after getting home, that walking was a bit difficult and that holding things in his right hand was a bit dicey.
So three days later he comes to the clinic and I tell him he has to go to the ER because he has likely had a stroke. He helped me in this diagnosis by being Romberg positive, ataxic, and dysmmetric.
The ER calls me back a few hours later and says they are going to send him home. The CT was normal. Probably a medication reaction. Home? What did the MRI show? Huh? You didn't get one?
They got one after I made a few points and whaddya know.... stroke of unclear age. I was glad I advocated for the MRI. So, I ask you, my peeps. What happened next? And oh by the way, the guy's head hurt a bit.... not all of a sudden, but he had a headache.
Take it away!