TY - CHAP M1 - Book, Section TI - Neurology A1 - Pavuluri, Spriha A2 - Wilbur, Jason K. A2 - Graber, Mark A. A2 - Ray, Brigit E. Y1 - 2018 N1 - T2 - Graber and Wilbur's Family Medicine Examination & Board Review, 4e AB - A 75-year-old right-handed man presents to the emergency department (ED) with dizziness that started 5 hours ago. His dizziness consists of a spinning sensation and he feels off balance as he walks. He reports coughing when trying to drink water earlier, but otherwise notes no other symptoms. He has an unremarkable past medical history and is taking no medications. On examination, he is found to have left-sided ptosis and left facial numbness to pinprick. Gag reflex is absent. Motor examination is otherwise unremarkable. Sensory examination revealed decreased pinprick sensation of the right arm and leg. He is unsteady while walking, tending to lean leftward. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/28 UR - accessmedicine.mhmedical.com/content.aspx?aid=1151875065 ER -