Cryptogenic Stroke

被引：196

作者：

Saver, Jeffrey L. ^{[1
,2
]}

机构：

[1] Univ Calif Los Angeles, David Geffen Sch Med, Dept Neurol, Los Angeles, CA 90095 USA

[2] Univ Calif Los Angeles, David Geffen Sch Med, Comprehens Stroke Ctr, Los Angeles, CA 90095 USA

来源：

NEW ENGLAND JOURNAL OF MEDICINE | 2016年 / 374卷 / 21期

关键词：

PATENT FORAMEN OVALE; TRANSIENT ISCHEMIC ATTACK; ATRIAL-FIBRILLATION; TRANSESOPHAGEAL ECHOCARDIOGRAPHY; CAUSATIVE CLASSIFICATION; MEDICAL THERAPY; YOUNG-PATIENTS; RISK-FACTORS; CLOSURE; PREVENTION;

D O I：

10.1056/NEJMcp1503946

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

After a gym workout, a 48-year-old man had sudden ataxia, nausea, and diplopia, followed by persistent inability to see the upper left quadrant of space with either the left or right eye. He did not have neck pain. His medical history included hypertension and migraines with aura. Magnetic resonance imaging (MRI) showed a right occipitotemporal and thalamic infarct. Magnetic resonance angiography showed an abrupt cutoff of a distal segment of the right posterior cerebral artery. The complete blood count, prothrombin time, and partial-thromboplastin time were normal. Transthoracic echocardiographic results suggested a possible right-to-left shunt. Cardiac telemetry during the first 2 inpatient days revealed no dysrhythmias. How should this case be further evaluated?

引用

页码：2065 / 2074

页数：10

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