Swelling in the caesarean section scar

Abstract

A 59 year old right handed man presented with a one week history of twitching of the right hand side of his face. This would spread to involve his right arm and hand. There was no background medical history of note and he was on no medication. On examination the right hand side of his face was continually twitching. Neurological examination did not reveal any further abnormalities. The results of investigations are shown in box 1.