The Man With The Clumsy Hand
|This 59y/o white male presented with a chief complaint of slurred speech.|
He had recently undergone a work-up for "palpitations" without angina. A Holter monitor study revealed non-sustained ventricular tachycardia. He was admitted to SB Hospital for an angiogram and an angioplasty with a stent placed in his right coronary artery. Upon awakening from the procedure, he felt groggy and had slurred speech noted by the nursing staff. These signs were attributed to sedation from the procedure. The next morning he was discharged home feeling well. At approximately 3 PM that afternoon while shopping with his wife, he noted that his tongue felt larger than usual and difficulty speaking clearly. He also had difficulty writing a check because he was unable to make his hand do what he wanted. He came to the Emergency Room where he was noted to be dysarthric and to have clumsiness of his right hand. His past medical history is significant for hypertension and hypercholesterolemia.