The stroke seesaw: unveiling the enigma of stuttering acute ischemic stroke.

IF 1.7 Q2 MEDICINE, GENERAL & INTERNAL
Annals of Medicine and Surgery Pub Date : 2025-01-31 eCollection Date: 2025-02-01 DOI:10.1097/MS9.0000000000002780
Abuoma C Ekpendu, Puneet Prakash, Chad K Brands
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引用次数: 0

Abstract

Introduction: Beyond the familiar face of the acute ischemic stroke, lies the unexpected display of symptoms challenging our preconceptions and beckoning us to explore the intriguing nuances that lie beneath the surface.

Presentation of case: We introduce an unusual case of an older adult who presented to our institution with repetitive focal neurologic deficits (FND). Initial investigation was negative for any brain hemorrhage or infarcts. Repeat investigation during readmission showed findings of brain infarct for which appropriate treatment was provided. The fluctuating pattern of FND is what we refer to as a stuttering presentation of stroke.

Discussion: Our case brings attention to stuttering, an atypical presentation of ischemic stroke, not previously well described in medical literature. Our case demonstrates that stuttering stroke presentations may imitate more short-lived neurologic events such as transient ischemic attacks.

Conclusion: All the patient events throughout the entirety of their time course should be thoroughly reviewed so that thrombolytics can then be considered in the earliest window of opportunity for patients with stuttering stroke presentations to prevent disability due to ischemic stroke.

中风跷跷板:揭示口吃急性缺血性中风之谜。
简介:在急性缺血性中风的熟悉面孔之外,存在着意想不到的症状展示,挑战着我们的先入为主的观念,并召唤着我们去探索表面之下有趣的细微差别。病例介绍:我们介绍一个不寻常的情况下,老年人谁提出了我们的机构与重复性局灶性神经缺陷(FND)。初步检查没有脑出血或梗塞。再次入院时复查显示脑梗死,并给予适当治疗。FND的波动模式就是我们所说的中风的口吃表现。讨论:我们的病例引起了对口吃的关注,这是缺血性中风的一种非典型表现,以前在医学文献中没有很好的描述。我们的病例表明,口吃中风的表现可能模仿更短暂的神经事件,如短暂性脑缺血发作。结论:所有患者在整个时间过程中的所有事件都应该彻底回顾,以便在口吃卒中患者出现的最早机会窗口中考虑溶栓,以预防缺血性卒中导致的残疾。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Annals of Medicine and Surgery
Annals of Medicine and Surgery MEDICINE, GENERAL & INTERNAL-
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5.90%
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