The patient presented with classical symptoms of an AICA infarct.

AICA syndrome (or lateral pontine syndrome) symptoms include:

• voice change with no ability to cough

• slumped to ipsilateral side, caused by vestibular nuclei ischemia

• left side of face numbness, as a result of damage to the main trigeminal nucleus

Other AICA syndrome symptoms include:

• paralysis of the facial muscles, secondary to facial nucleus ischemia

• tinnitus and or loss of hearing, secondary to cochlear nuclei ischemia

Case presented with Dr A Kerr MBChB.