LAUSR

A 70-year-old woman with hypertension presented about 3 months ago with complaints of dysarthria, left lower motor neuron facial palsy with preserved Bell’s phenomenon, sensory loss over the left side of her face (V1, V2, V3) along with the left half of the tongue, absent left corneal and conjunctival reflexes, and gait ataxia. MRI of the brain showed an acute left anterior inferior cerebellar artery infarction (figure 1). She was treated with antiplatelets, statins and antihypertensives. Figure 1 MRI of the brain showing an acute infarct in the left anterior inferior cerebellar territory. At present, she complained of 1-month history of multiple non-healing painless ulcers over the left side of her face below the nostril, and on the left side of the nose and forehead. Her left eye had undergone keratosis (figure 2). She had consulted local doctors, who prescribed her topical antibiotics and steroids, and eye-drops, but there was no improvement. There were no vesicles or peripheral nerve thickening. Her vitals were stable. Neurologically, she had left lower motor neuron facial palsy, difficulty in closing her left eye, sensory loss over the trigeminal …