28th May 2025

An 84-year-old lady presents to Accident & Emergency with a fall and is found to have had a partial anterior circulation infarct.

An 84-year-old lady presents to Accident & Emergency with a fall and is found to have had a partial anterior circulation infarct. She is admitted to the stroke ward and is doing well but after two days she becomes acutely confused on the ward. She is especially agitated at night, accusing the nursing staff of trying to kill her and repeatedly removing her cannulas.

Of the options below, which best explains her current presentation?