Diagnostic confusion resolved by being upbeat
| Autor: | Puneet Kakar, Ami Kamdar, Sandeep Buddha, Paul Bentley, Diego Kaski, Hemanth Prabhudev |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
lcsh:Diseases of the circulatory (Cardiovascular) system
Pathology medicine.medical_specialty medicine.diagnostic_test Medullary cavity business.industry Infarction Case Report Magnetic resonance imaging medicine.disease lcsh:RC666-701 medicine Radiology Brainstem Upbeat nystagmus Presentation (obstetrics) medicine.symptom business Stroke Confusion |
| Zdroj: | JRSM Cardiovascular Disease JRSM Cardiovascular Disease, Vol 1 (2012) |
| ISSN: | 2048-0040 |
| Popis: | The classical stroke presentation – captured by the public health campaign mnemonic FAST (face, arm, speech, time) – does not apply in a large number of stroke cases; yet establishing a prompt diagnosis is imperative for optimal management. Here, we describe a patient with acute bulbar weakness, numbness in all extremities and an apparently normal magnetic resonance imaging (MRI) of the brain upon admission for whom even the fundamental question of whether this reflected a central or peripheral nervous system process was unclear. The critical localizing sign was upbeat nystagmus that denotes a brainstem cause. MRI of the brain in the second week confirmed a diagnosis of medial medullary infarction. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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