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The cause of the stroke: a diagnostic uncertainty
- Publication Year :
- 2017
- Publisher :
- BMJ Publishing Group, 2017.
-
Abstract
- A 39-year-old man with a history of sickle cell disease (SCD) presented with left leg weakness. He 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 rather than stroke related to SCD, although it could not be ruled out. He also had an echocardiogram which revealed a patent foramen ovale. He was treated with antiplatelet therapy and also had red blood cell exchange transfusion. His symptoms improved significantly and he was discharged with follow-up as an outpatient and a cardiology review.
- Subjects :
- Adult
Male
medicine.medical_specialty
Ct angiogram
Embolism
Foramen Ovale, Patent
Disease
Anemia, Sickle Cell
030204 cardiovascular system & hematology
Article
03 medical and health sciences
0302 clinical medicine
Internal medicine
Medicine
Humans
030212 general & internal medicine
cardiovascular diseases
Red Blood Cell Exchange Transfusion
Stroke
Leg weakness
business.industry
Uncertainty
General Medicine
Right precentral gyrus
medicine.disease
Magnetic Resonance Imaging
Frontal Lobe
Echocardiography
Patent foramen ovale
Cardiology
business
Erythrocyte Transfusion
Mri findings
Platelet Aggregation Inhibitors
Subjects
Details
- Language :
- English
- Database :
- OpenAIRE
- Accession number :
- edsair.doi.dedup.....1e2b3d0d64afd013723acc3a147c2eb6