Hemiparesis and facial droop in an older woman
Published Jan 13, 2022 · D. Anyfantakis, S. Kastanakis
BMJ
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Abstract
Hemiparesis and facial droop in an older woman Dimitrios Anyfantakis, 1 Serafim Kastanakis2 A woman in her early 80s presented to the emergency department with a 30 minute history of right sided weakness, dysarthria, dizziness, and confusion. She was taking irbesartan 75 mg/day for hypertension and the sulfonylurea glimepiride 4 mg/day and metformin 500 mg/day for type 2 diabetes. Physical examination revealed right sided facial droop involving the corner of the mouth (fig 1), right sided hemiparesis, and slurred speech. The patient scored 23 (range 0-42) on the National Institute of Health Stroke scale, indicating a high risk.1
Study Snapshot
Key takeawayA patient in her early 80s with right sided hemiparesis and facial droop may have a high risk of stroke due to her medications.
PopulationOlder adults (50-71 years)
Sample size24
MethodsObservational
OutcomesBody Mass Index projections
ResultsSocial networks mitigate obesity in older groups.