18th August 2024

An 86-year-old woman was found collapsed at her nursing home. She has a history of osteoarthritis and dementia

An 86-year-old woman was found collapsed at her nursing home. She has a history of osteoarthritis and dementia. According to the nursing home, she was well at breakfast time. She has marked left-sided weakness, more prominent in the legs, a facial droop and is drowsy at the time of assessment. A CT scan demonstrates a right frontal lobar haematoma with significant mass effect. There were multiple finger-like projections in the haematoma and some subarachnoid extension of the blood. What is the most likely cause of her stroke?

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