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A 65 year old male with weakness of left upper and lower limb

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A 65 year old male with weakness of left upper and lower limb   A 65 year old male who is a farmer by occasional came with complaints of weakness of left lower limb and left upper limb since yesterday and slurring Of speech since yesterday  Tingling sensation of right upper limb and generalised weakness 20 days back HISTORY OF PRESENTING ILLNESS- Patient was apparently alright till 20 days back when he had c/o tingling sensation in right upper limb which gradually progressed f/b he developed generalised weakness for which he was taken to hospital and MRI was done which showed acute lacunar infarct and chronic lacunar infarcts and was treated conservatively. Since yesterday morning he has c/o tingling sensation of left upper limb and lower limb f/b he developed weakness of left side upper and lower limbs a/w slurring of speech. PAST HISTORY- H/o CVA (right hemiparesis) 6 years back  H/o hypertension since 6 years on tab telmisartan 40mg + amlodipine 5mg H/o dm since 5 yrs on Tab.Metform