Summary

Cerebrovascular accident remains one of the major causes of morbidity and mortality worldwide. Understanding the presentation of this common disease will be of great benefit for early diagnosis and management. We report a newly recognised symptom of stroke where there is difficulty writing mobile phone texts, an entity called dystextia. This symptom was previously reported as a presentation of complex migraine and starts to be recognised in the symptomology of stroke. Our patient with this presentation was found to have ischaemic stroke secondary to carotid vascular disease which was operated and she had a complete resolution of her symptoms with returning to her baseline shortly after hospitalisation and before her vascular intervention.