Poster 413: Transcortical Motor Aphasia in a Patient with a Left Middle Cerebral Artery Infarction: A Case Report

PM&R ◽  
2009 ◽  
Vol 1 ◽  
pp. S284-S284
Author(s):  
Jacqueline S. Weisbein ◽  
Jack A. Mensch ◽  
Noushin Mirmadjlessi
2013 ◽  
Vol 2013 ◽  
pp. 1-4 ◽  
Author(s):  
Luciano A. Sposato ◽  
Valeria Salutto ◽  
Diego E. Beratti ◽  
Paula Monti ◽  
Patricia M. Riccio ◽  
...  

Background. Recurrent ischemic stroke is associated with adverse neurological outcome in patients with atrial fibrillation. There is very scarce information regarding the neurological outcome of atrial fibrillation patients undergoing repeated systemic thrombolysis after early recurrent ischemic stroke.Clinical Case and Discussion. We describe a case of a 76-year-old woman with known paroxysmal atrial fibrillation who was admitted because of an acute right middle cerebral artery ischemic stroke and who underwent repeated systemic thrombolysis within 110 hours. The patient underwent systemic thrombolysis after the first ischemic stroke with almost complete neurological recovery. On the fourth day after treatment, an acute left middle cerebral artery ischemic stroke was diagnosed and she was treated with full-dose intravenous recombinant tissue plasminogen activator. A hemorrhagic transformation of the left middle cerebral artery infarction was noted on follow-up cranial computed tomographic scans. The patient did not recover from the second cerebrovascular event and died 25 days after admission.Conclusion. To the best of our knowledge, this is the second case reporting the adverse neurological outcome of a patient with diagnosis of atrial fibrillation undergoing repeated systemic thrombolysis after early recurrent ischemic stroke. Our report represents a contribution to the scarce available evidence suggesting that repeated systemic thrombolysis for recurrent ischemic stroke should be avoided.


2013 ◽  
Vol 39 (1) ◽  
pp. 32 ◽  
Author(s):  
Ettore Piro ◽  
Maria Piccione ◽  
Gianluca Marrone ◽  
Mario Giuffrè ◽  
Giovanni Corsello

2008 ◽  
Vol 66 (3a) ◽  
pp. 581-583 ◽  
Author(s):  
Luiz Antonio de Lima Resende ◽  
Silke Anna Theresa Weber ◽  
Marcelo Fernando Zeugner Bertotti ◽  
Svetlana Agapejev

Stroke was probably first described in Psalms 136: 5-6 of the Catholic Bible, and Psalms 137:5-6 of the Evangelical Bible. Based on the Portuguese, Spanish, English, German, Dutch, Russian, Greek, and original Hebrew Bible, the significance of this Psalm is the invocation of a punishment, of which the final result would be a stroke of the left middle cerebral artery, causing motor aphasia and right hemiparesis.


2000 ◽  
Vol 15 (3) ◽  
pp. 167-173 ◽  
Author(s):  
Johann P. Kuhtz-Buschbeck ◽  
Mona Dreesmann ◽  
Mukaddes Gölge ◽  
Ulrich Stephani

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