Mum, my arm’s not working

Author: Amina Husaini Ibrahim / Editor: Nick Tilbury / Codes: / Published: 06/10/2022

A 9-year-old boy with sickle cell disease is brought into the emergency department (ED) unable to raise his right arm and leg. About an hour earlier he had a generalised tonic-clonic convulsion lasting about 5 minutes before self-terminating.

His observations are as follows:

HR – 76 bpm
BP – 90/70mmHg
SpO2 – 97% on air
Temp 37C

Examination is unremarkable apart from a reduced power of 3/6 in the right upper and lower limb.

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