The patient remained obtunded and was managed in the intensive care unit under sedation and ventilation. He required feeding support as his swallow, conscious level and motor effort in general were impacted but slowly recovered.

There was a long rehabilitation period following this posterior circulation stroke. The patient remained broadly cognitively impaired with fluctuant levels of alertness. He relied on assistance to mobilise with a frame and was left with severe visual impairment and limited downgaze.

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