RT Book, Section
A1 Hayden, Jr, J. William
A1 Chumley, Heidi S.
A2 Usatine, Richard P.
A2 Smith, Mindy A.
A2 Mayeaux, Jr., E.J.
A2 Chumley, Heidi S.
SR Print(0)
ID 1164350500
T1 Cerebral Vascular Accident
T2 The Color Atlas and Synopsis of Family Medicine, 3e
YR 2019
FD 2019
PB McGraw-Hill Education
PP New York, NY
SN 9781259862045
LK dermatology.mhmedical.com/content.aspx?aid=1164350500
RD 2024/04/16
AB A  65-year-old  hypertensive  black  man  presented  to  the  emergency  department  with  onset  of  right  face,  arm,  and  hand  paralysis,  and  difficulty  communicating.  Rapid  diagnostic  testing  using  MRI  revealed  an  ischemic  infarct  in  the  left  middle  cerebral  artery  (Figure  241-1).  He  was  evaluated  by  a  stroke  response  team  and  was  found  to  be  a  candidate  for  tissue  plasminogen  activator  (TPA).  After  the  stroke,  he  was  treated  with  aspirin,  antihypertensives,  and  cholesterol-lowering  medication.  He  recovered  80%  of  his  neurologic  deficit  over  the  next  3  months.  Figure  241-2  is  a  noncontrast  CT  image  of  this  patient  2  weeks  later.