The patient was a 71 year old woman with a history of ischemic cardiomyopathy and renal insufficiency who developed the sudden onset of left hemiplegia, hemineglect, hemianaesthesia, mutism and bilateral ptosis. She was treated for elevated intracranial pressure, but deteriorated and developed an enlarged right pupil
and a decreased level of arousal. She expired 5 days after admission.
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