The Editor,

Sir,

A 44-year old woman with left hemiplegia was seen during a follow-up visit for post-stroke spasticity. She had left hemiplegia caused by a thrombotic cerebrovascular accident in 2009. For spasticity treatment, oral antispasticity drugs (baclofen and tizanidin) were prescribed and botulinum toxin (BTX) injections have been administered for a minimum six-month period. Nevertheless, it was difficult to resolve the spasticity in the left-side (especially in the upper limb).

The Editor,

Sir,

A 55-year-old man was seen for severe neck pain, numbness in his right upper limb and right shoulder limitation for the last 2-3 weeks. His medical history revealed hyperlipidaemia, smoking (10 packs/year) and diabetes mellitus (DM) Type II. He had also been hospitalized for diabetic ketoacidosis one month ago.