The importance of the clinical examination.

TL;DRAbstract

peech dysfunction is a major focal neurologic disability. The type of speech abnormality that a patient manifests allows the clinician to localize the lesion. We present a case of a patient who developed acute dysarthria without dysphasia. The CT brain revealed a hematoma in the pre-frontal cortex rather than the motor cortex or sub-cortical tracts. Considering the discrepancy between the clinical findings and the CT brain, an MRI of the brain was performed which, in fact, revealed an acute sub-cortical lesion, which explains the patients symptomatology. This study confirms again the importance of the physical examination in diagnosing neurological diseases rather than blindly depending on ancillary studies. An 80-year-old man, not known hypertensive or diabetic, non-smoker, with no history of coronary artery disease or cerebrovascular disease, presented to the emergency unit with acute onset isolated dysarthria. No headache, fever, diplopia, motor weakness or altered level of consciou

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