13th August 2024

A 57-year-old lady presents to A&E with right-sided hand weakness. She reports that earlier that day

A 57-year-old lady presents to A&E with right-sided hand weakness. She reports that earlier that day, she noticed she was unable to move her right hand and she then developed a severe throbbing headache. The hand weakness resolved completely after 20 minutes but the headache is still present. She also reports feeling nauseous and very tired. Her neurological examination demonstrates photophobia and normal motor function in her upper and lower limbs. The CT head is normal. She has a history of hypertension, asthma and depression. She reports that these exact symptoms have occurred 4 times previously.

What is the most likely diagnosis?

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