A case of cerebral embolism with infarction presenting as an intra cranial space occupying lesion is described. This is a rare sequel of cerebral infarction. This case highlights some of the false physical signs of a rapidly developing rise in intra cranial pressure and the falsity of the history of fall after an attack of cerebral infarction. The place of emergency carotid angiography and brain scan is also discussed in the accurate diagnosis of such cases.
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