Device brings closure

After collapsing at the airport, a previously fit and healthy young man is rushed to hospital with acute stroke

A previously healthy 38-year-old man was admitted to a tertiary hospital with acute left-sided hemiplegia.

During a 36-hour flight from Germany via Dubai to Sydney, he had noticed swelling of both lower limbs, but particularly his right leg.

As he strained to lift up a heavy suitcase from the airport carousel, his left leg suddenly gave way and he experienced profound weakness in his left arm. An ambulance was called and he was rushed to hospital.

An urgent cranial computed tomography scan was performed, showing a large thrombus in the right middle cerebral artery. After consultation with the on-call neurologist, the patient was thrombolysed. The treatment was successful and he was left with minimal long-term deficit.

Further investigations were performed. Carotid and vertebral duplex ultrasonography were normal. However, lower limb duplex ultrasonography revealed a right-sided lower