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 SPECIAL NI FEATURE - CLINICAL PATHOLOGICAL CONFERENCE
Year : 2020  |  Volume : 68  |  Issue : 1  |  Page : 17--19

A 66 Year Old Woman with Recurrent Stroke


1 Department of Neurology, Massachusetts General Hospital, Boston, MA, USA
2 Department of Neurology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, Kerala, India

Correspondence Address:
Dr. Aneesh B Singhal
Department of Neurology, ACC-729-C, 55 Fruit St, Boston, MA - 02114
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0028-3886.279684

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Recurrent strokes involving various arterial territories can carry a broad differential diagnosis. Multiple progressive infarcts in a patient with clinical signs and symptoms out of proportion to their infarct pattern on imaging should compel the clinician to broaden the differential to include inflammatory causes of stroke also. A stepwise approach, using clinical, imaging and laboratory clues to direct further invasive testing is required for proper diagnosis and management in such cases. We present the case of a 66 year old woman with recurrent strokes over the span of a few weeks with deficits and mental status changes out of proportion to her infarcts on MRI brain and an inflammatory CSF. Since commencement of treatment for the underlying inflammatory cause of her strokes, she has remained stroke free for over two years in follow up.






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Online since 20th March '04
Published by Wolters Kluwer - Medknow