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A 16-year-old male with dizziness, parasthesias, and ataxia.
- Source :
-
Pediatric annals [Pediatr Ann] 2014 May; Vol. 43 (5), pp. e116-9. - Publication Year :
- 2014
-
Abstract
- A 16-year-old African-American male with no past medical history presented with gait instability and somnolence. He had intermittent neurological complaints during the prior 4 months, including dizziness, left arm paresthesias, decreased hearing, and inability to control his hands. After an initial diagnosis of vertigo, his symptoms progressed, leading to reevaluation and a second emergency department head computed tomography (CT) scan, which revealed a large area of hypodensity in the cerebellum. Repeat head CT on arrival to the intensive care unit showed a large, left cerebellar hemispheric stroke. This case study discusses the findings of the patient's cerebral angiogram, the diagnosis of fibromuscular dysplasia, and the aggressive treatment that likely prevented further devastating strokes in the brainstem, thalamus, and occipital lobe. This case serves as a reminder that strokes are not just an adult disease and that classic presentations can occur even in unconventional patients.<br /> (Copyright 2014, SLACK Incorporated.)
- Subjects :
- Adolescent
Basilar Artery diagnostic imaging
Cerebellum diagnostic imaging
Diagnosis, Differential
Embolization, Therapeutic methods
Humans
Intracranial Thrombosis complications
Intracranial Thrombosis therapy
Male
Stroke etiology
Tomography, X-Ray Computed methods
Vertebral Artery diagnostic imaging
Ataxia etiology
Dizziness etiology
Intracranial Thrombosis diagnostic imaging
Paresthesia etiology
Stroke diagnostic imaging
Subjects
Details
- Language :
- English
- ISSN :
- 1938-2359
- Volume :
- 43
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- Pediatric annals
- Publication Type :
- Academic Journal
- Accession number :
- 24877493
- Full Text :
- https://doi.org/10.3928/00904481-20140417-10