WHICHARD, Justice.
Defendant was convicted of first degree murder and sentenced to life imprisonment. Evidence pertinent to the arguments presented is set forth infra. We find no error.
Defendant contends the trial court erred in failing to dismiss the first degree murder charge, at the close of the State’s evidence and all of the evidence, for insufficient evidence of premeditation and deliberation. A motion to dismiss for insufficiency of the evidence is tantamount to a motion for nonsuit under N.C.G.S. 15-173. State v. Greer, 308 N.C. 515, 519, 302 S.E. 2d 774, 777 (1983). Under N.C.G.S. 15-173, a defendant who introduces evidence waives any motion for dismissal or nonsuit made prior to the introduction of his evidence and cannot urge the prior motion as ground for appeal. N.C.G.S. 15-173 (1983); State v. Bruce, 315 N.C. 273, 280, 337 S.E. 2d 510, 515 (1985); see also N.C.R. App. P. 10(b)(3). Because defendant offered evidence following denial of his motion to dismiss at the close of the State’s evidence, the denial of that motion is not properly before us for review. Id.
[439]*439Defendant did not renew the motion to dismiss at the close of all the evidence. N.C.G.S. 15A-1446(d)(5) provides that errors based upon insufficiency of the evidence may be the subject of appellate review even though no objection, exception or motion has been made in the trial division. N.C.R. App. P. 10(b)(3), however, provides that a defendant “may not assign as error the insufficiency of the evidence to prove the crime charged unless he moves to dismiss the action, or for judgment as in case of nonsuit, at trial.” To the extent that N.C.G.S. 15A-1446(d)(5) is inconsistent with N.C.R. App. P. 10(b)(3), the statute must fail. State v. Bennett, 308 N.C. 530, 535, 302 S.E. 2d 786, 790 (1983); State v. Elam, 302 N.C. 157, 160-61, 273 S.E. 2d 661, 664 (1981). While we thus are not compelled to do so, we have nevertheless reviewed the evidence in our discretion, State v. Fikes, 270 N.C. 780, 781, 155 S.E. 2d 277, 278 (1967), and we conclude that it sufficed to take the case to the jury.
On a motion to dismiss the trial court must view the evidence in the light most favorable to the State, giving the State the benefit of every reasonable inference to be drawn from it. State v. Williams, 319 N.C. 73, 79, 352 S.E. 2d 428, 432 (1987) (quoting State v. Young, 312 N.C. 669, 680, 325 S.E. 2d 181, 188 (1985)). If there is substantial evidence — whether direct, circumstantial, or both — to support a finding that the offense charged has been committed and that the defendant committed it, the case is for the jury and the motion to dismiss should be denied. Id.
This Court has said, with regard to premeditation and deliberation:
Premeditation means that the act was thought out beforehand for some length of time, however short .... State v. Myers, 299 N.C. 671, 263 S.E. 2d 768 (1980). Deliberation means an intent to kill carried out in a cool state of blood, in furtherance of a fixed design for revenge or to accomplish an unlawful purpose and not under the influence of a violent passion, suddenly aroused by lawful or just cause or legal provocation. State v. Bush, 307 N.C. 152, 297 S.E. 2d 563 (1982). . . .
Premeditation and deliberation relate to mental processes and ordinarily are not readily susceptible to proof by direct evidence. Instead, they usually must be proved by circum[440]*440stantial evidence. State v. Buchanan, 287 N.C. 408, 215 S.E. 2d 80 (1975). Among other circumstances to be considered in determining whether a killing was with premeditation and deliberation are: (1) want of provocation on the part of the deceased; (2) the conduct and statements of the defendant before and after the killing; (3) threats and declarations of the defendant before and during the course of the occurrence giving rise to the death of the deceased; (4) ill-will or previous difficulty between the parties; (5) the dealing of lethal blows after the deceased has been felled and rendered helpless; and (6) evidence that the killing was done in a brutal manner. [Citations omitted.] We have also held that the nature and number of the victim’s wounds is a circumstance from which premeditation and deliberation can be inferred.
State v. Williams, 319 N.C. at 80, 352 S.E. 2d at 433 (quoting State v. Brown, 315 N.C. 40, 58-59, 337 S.E. 2d 808, 822-23 (1985)).
The evidence at trial showed that defendant invited the victim and two other men to his trailer in the early morning hours of 11 May 1985 to talk and drink liquor. Defendant had not seen the victim for some time but had lived with him in Atlanta sixteen years earlier. Through their prior acquaintance defendant had learned that the victim became violent when he drank.
After some time defendant and the victim began to argue over which of them had the better dog. During the argument the victim threatened that he would kill both defendant and his dog. He had no weapon when he made that statement. The victim also tried to “poke” defendant in the eyes and “picked [defendant] up and slammed [him] down on the stove.”
Immediately after this incident defendant went to the bathroom. On his way back defendant looked behind his recliner for his axe handle so he could “go up against [the victim’s] hard head,” but he found his shotgun instead. According to defendant he picked up the shotgun, not intending to kill the victim but thinking the victim would leave on seeing the gun. As he came into the kitchen with the shotgun, defendant said to the victim: “Get the hell out, . . . [o]r you can go for that gun.” Defendant was referring to a pistol defendant had placed on the kitchen table when he first entered his trailer. The victim went for the pistol. The other two men grabbed his arm, and it was held until [441]*441“just a second before the shot” when it was released in anticipation of the shot. Defendant raised the shotgun and shot the victim at a range of about six feet. Defendant testified that he believed the victim would have killed him had he not shot first.
Viewed in the light most favorable to the State, as required, the foregoing evidence establishes that defendant returned from the bathroom after having time to think. By his own testimony he planned to hit the victim with an axe handle but later decided to shoot him, although not to kill him. Defendant clearly challenged the victim to a duel in which defendant had the upper hand and then proceeded to shoot him in the head at close range. The victim’s arm was held by the other two men until “just a second before the shot” and was released only in anticipation of the shot. Although defendant testified that he was initially glad to see the victim after so many years, the jury could infer that defendant developed the intent to kill the victim as a result of the ill-will that arose during the argument over the dogs. The premeditation and deliberation issue thus was correctly submitted to the jury.
Defendant next assigns as error the trial court’s denial of his motion for mistrial. During cross-examination of the defendant he became nauseated and had to leave the court. He returned, however, and continued to testify until the lunch recess. At this recess defendant’s attorney moved for a mistrial on the ground that defendant continued to feel ill. The court held a hearing and had the jail nurse take defendant’s temperature, which was one degree above normal.
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WHICHARD, Justice.
Defendant was convicted of first degree murder and sentenced to life imprisonment. Evidence pertinent to the arguments presented is set forth infra. We find no error.
Defendant contends the trial court erred in failing to dismiss the first degree murder charge, at the close of the State’s evidence and all of the evidence, for insufficient evidence of premeditation and deliberation. A motion to dismiss for insufficiency of the evidence is tantamount to a motion for nonsuit under N.C.G.S. 15-173. State v. Greer, 308 N.C. 515, 519, 302 S.E. 2d 774, 777 (1983). Under N.C.G.S. 15-173, a defendant who introduces evidence waives any motion for dismissal or nonsuit made prior to the introduction of his evidence and cannot urge the prior motion as ground for appeal. N.C.G.S. 15-173 (1983); State v. Bruce, 315 N.C. 273, 280, 337 S.E. 2d 510, 515 (1985); see also N.C.R. App. P. 10(b)(3). Because defendant offered evidence following denial of his motion to dismiss at the close of the State’s evidence, the denial of that motion is not properly before us for review. Id.
[439]*439Defendant did not renew the motion to dismiss at the close of all the evidence. N.C.G.S. 15A-1446(d)(5) provides that errors based upon insufficiency of the evidence may be the subject of appellate review even though no objection, exception or motion has been made in the trial division. N.C.R. App. P. 10(b)(3), however, provides that a defendant “may not assign as error the insufficiency of the evidence to prove the crime charged unless he moves to dismiss the action, or for judgment as in case of nonsuit, at trial.” To the extent that N.C.G.S. 15A-1446(d)(5) is inconsistent with N.C.R. App. P. 10(b)(3), the statute must fail. State v. Bennett, 308 N.C. 530, 535, 302 S.E. 2d 786, 790 (1983); State v. Elam, 302 N.C. 157, 160-61, 273 S.E. 2d 661, 664 (1981). While we thus are not compelled to do so, we have nevertheless reviewed the evidence in our discretion, State v. Fikes, 270 N.C. 780, 781, 155 S.E. 2d 277, 278 (1967), and we conclude that it sufficed to take the case to the jury.
On a motion to dismiss the trial court must view the evidence in the light most favorable to the State, giving the State the benefit of every reasonable inference to be drawn from it. State v. Williams, 319 N.C. 73, 79, 352 S.E. 2d 428, 432 (1987) (quoting State v. Young, 312 N.C. 669, 680, 325 S.E. 2d 181, 188 (1985)). If there is substantial evidence — whether direct, circumstantial, or both — to support a finding that the offense charged has been committed and that the defendant committed it, the case is for the jury and the motion to dismiss should be denied. Id.
This Court has said, with regard to premeditation and deliberation:
Premeditation means that the act was thought out beforehand for some length of time, however short .... State v. Myers, 299 N.C. 671, 263 S.E. 2d 768 (1980). Deliberation means an intent to kill carried out in a cool state of blood, in furtherance of a fixed design for revenge or to accomplish an unlawful purpose and not under the influence of a violent passion, suddenly aroused by lawful or just cause or legal provocation. State v. Bush, 307 N.C. 152, 297 S.E. 2d 563 (1982). . . .
Premeditation and deliberation relate to mental processes and ordinarily are not readily susceptible to proof by direct evidence. Instead, they usually must be proved by circum[440]*440stantial evidence. State v. Buchanan, 287 N.C. 408, 215 S.E. 2d 80 (1975). Among other circumstances to be considered in determining whether a killing was with premeditation and deliberation are: (1) want of provocation on the part of the deceased; (2) the conduct and statements of the defendant before and after the killing; (3) threats and declarations of the defendant before and during the course of the occurrence giving rise to the death of the deceased; (4) ill-will or previous difficulty between the parties; (5) the dealing of lethal blows after the deceased has been felled and rendered helpless; and (6) evidence that the killing was done in a brutal manner. [Citations omitted.] We have also held that the nature and number of the victim’s wounds is a circumstance from which premeditation and deliberation can be inferred.
State v. Williams, 319 N.C. at 80, 352 S.E. 2d at 433 (quoting State v. Brown, 315 N.C. 40, 58-59, 337 S.E. 2d 808, 822-23 (1985)).
The evidence at trial showed that defendant invited the victim and two other men to his trailer in the early morning hours of 11 May 1985 to talk and drink liquor. Defendant had not seen the victim for some time but had lived with him in Atlanta sixteen years earlier. Through their prior acquaintance defendant had learned that the victim became violent when he drank.
After some time defendant and the victim began to argue over which of them had the better dog. During the argument the victim threatened that he would kill both defendant and his dog. He had no weapon when he made that statement. The victim also tried to “poke” defendant in the eyes and “picked [defendant] up and slammed [him] down on the stove.”
Immediately after this incident defendant went to the bathroom. On his way back defendant looked behind his recliner for his axe handle so he could “go up against [the victim’s] hard head,” but he found his shotgun instead. According to defendant he picked up the shotgun, not intending to kill the victim but thinking the victim would leave on seeing the gun. As he came into the kitchen with the shotgun, defendant said to the victim: “Get the hell out, . . . [o]r you can go for that gun.” Defendant was referring to a pistol defendant had placed on the kitchen table when he first entered his trailer. The victim went for the pistol. The other two men grabbed his arm, and it was held until [441]*441“just a second before the shot” when it was released in anticipation of the shot. Defendant raised the shotgun and shot the victim at a range of about six feet. Defendant testified that he believed the victim would have killed him had he not shot first.
Viewed in the light most favorable to the State, as required, the foregoing evidence establishes that defendant returned from the bathroom after having time to think. By his own testimony he planned to hit the victim with an axe handle but later decided to shoot him, although not to kill him. Defendant clearly challenged the victim to a duel in which defendant had the upper hand and then proceeded to shoot him in the head at close range. The victim’s arm was held by the other two men until “just a second before the shot” and was released only in anticipation of the shot. Although defendant testified that he was initially glad to see the victim after so many years, the jury could infer that defendant developed the intent to kill the victim as a result of the ill-will that arose during the argument over the dogs. The premeditation and deliberation issue thus was correctly submitted to the jury.
Defendant next assigns as error the trial court’s denial of his motion for mistrial. During cross-examination of the defendant he became nauseated and had to leave the court. He returned, however, and continued to testify until the lunch recess. At this recess defendant’s attorney moved for a mistrial on the ground that defendant continued to feel ill. The court held a hearing and had the jail nurse take defendant’s temperature, which was one degree above normal. The nurse also testified that defendant expressed symptoms of the flu. Although the court denied defendant’s motion for mistrial, it recessed until the next day. The next day defendant indicated that he “[felt] fine and [was] ready to go forward.” Defendant now contends that he did not receive a fair trial because his illness interfered with his ability to testify convincingly on the issue of self-defense.
Whether to grant a motion for mistrial is in the trial court’s discretion. State v. King, 311 N.C. 603, 619, 320 S.E. 2d 1, 11 (1984). See also State v. Calloway, 305 N.C. 747, 754, 291 S.E. 2d 622, 627 (1982). Mistrial is a drastic remedy, warranted only for such serious improprieties as would make it impossible to attain a fair and impartial verdict. Id.; State v. McCraw, 300 N.C. 610, 620, 268 S.E. 2d 173, 179 (1980). Here defendant testified that he knew [442]*442he was sick during jury selection. He did not communicate this to the court, however, until after the jury was impaneled and the State had rested its case. When the court learned of defendant’s illness, the trial was recessed to allow him to rest and recuperate. Prior to the resumption of cross-examination of the defendant, he took the stand and indicated that he felt fine and was ready to proceed. Clearly the court did not abuse its discretion in denying a mistrial under these circumstances. This assignment of error is thus overruled.
Finally, defendant contends the court erred in submitting written instructions to the jury on the law of self-defense. After several hours of deliberation, the jury foreman inquired:
We had some question — our memories are a little foggy from yesterday as to the descriptions of each of the verdicts and in an effort not to make a mistake, we were wondering if we could have a written copy of the legal descriptions of the verdicts.
While the trial court refused to give the jury written instructions, it did read a description of the possible verdicts and the law on self-defense. Although the foreman said that his questions were answered by the oral instructions, the court also gave the jury written instructions on the issue of self-defense in response to complaints that jurors were taking notes during the additional instructions.
Defendant now argues that the court erred in giving the jury written instructions on one issue without giving it written instructions on all issues. He contends that this procedure served to highlight the self-defense charge and may have confused the jurors as to other issues before them. Defendant did not object to this procedure at trial, however, and did not ask that other parts of the written instructions be provided to the jury. He merely objected to the wording of the written charge. We perceive no possible prejudice to defendant by a highlighting of the self-defense charge. See N.C.G.S. 15A-1443(a) (1983). The charge was favorable to his case. Further, the trial court twice admonished the jury to take the additional instructions in conjunction with those it had previously given. See State v. Lyles, 298 N.C. 179, 189, 257 S.E. 2d 410, 416 (1979). We thus find no merit in this assignment of error.
[443]*443No error.