16th August 2024

A 45-year-old lefthanded man presents to A&E with neurological disturbance

A 45-year-old lefthanded man presents to A&E with neurological disturbance. Since he woke up this morning, he has had difficulty walking, feeling as though his left leg was weaker than his right. He also reports difficulty picking up his cup of tea and found it hard to pick up his toothbrush to brush his teeth. He felt well when he went to bed the night before. He has a background of hypertension for which he is prescribed ramipril 1.25 mg once daily and type 2 diabetes mellitus for which he is prescribed metformin 500 mg twice daily, although he admits that he does not always take his medications. On examination, he has a mild weakness of his left limbs, more marked in his leg. This weakness becomes more pronounced as he attempts to pick up and use objects. There is no dysarthria or dysphasia or abnormality on cranial nerve testing and there is no discernible sensory loss. According to the Oxfordshire Community Stroke Project (Bamford) classification, which type of stroke does the patient have?

Select the SINGLE most appropriate option from the list below. Select ONE option only.