Right sided pronator drift!
This gentleman had an abrupt onset weakness over the right side. By the time he came to hospital, he said he had recovered, however subtle signs of pyramidal weakness were still present
#MedEd #MedTwitter #NeuroTwitter
This gentleman had an abrupt onset weakness over the right side. By the time he came to hospital, he said he had recovered, however subtle signs of pyramidal weakness were still present
#MedEd #MedTwitter #NeuroTwitter
Ask the patient to close eyes and stretch out their arms. Observe for about half a minute at least. The weaker hand will start drifting into a probated position.
See how the left hand in this video maintains its position.
See how the left hand in this video maintains its position.
When you see a patient with suspected #stroke, watch out for soft signs like this.
It helps to have a plan ready, because time is brain. Prepare you own clinical protocol to assess quickly and donβt waste time doing redundant clinical tests
NIHSS usually suffices!
It helps to have a plan ready, because time is brain. Prepare you own clinical protocol to assess quickly and donβt waste time doing redundant clinical tests
NIHSS usually suffices!
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