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Case 8

A 24 year old with sudden hemiplegia

This 24 year old female collapsed suddenly while playing squash. She was found to be dysarthric with a marked right sided hemiparesis. She had previously been fit and well with no past medical history. She was taking the oral contraceptive pill.

She was referred for an emergency CT scan within 2-3 hours of her collapse, and a sample image is shown. Do you see any abnormality? What would you do next?