A 49-year-old woman presented with left upper extremity weakness. She had a normal CT head and CT angiogram, but MRI head showed multiple acute bilateral cortical infarcts including in the right precentral gyrus. The MRI findings were more in keeping with an embolic source. She also had an echocardiogram which revealed a patent foramen ovale. She was treated with antiplatelet therapy. Her symptoms partially improved and she was discharged with follow-up as an outpatient of physiotherapy clinic and a cardiology review. VR rehabilitation by Recovery Tech interactive game was planned in order to foster her recovery and return to independence. After six weeks of virtual reality in addition to conventional rehabilitation, increased muscle strength led to a significant improvement in functional ability of her left upper extremity.She returned to work after eighth weeks.