• Am J Emerg Med · May 2013

    Case Reports

    Ischemic stroke presenting as fluctuating focal weakness in an otherwise healthy young man.

    • Melanie J Lippmann and Adam H Miller.
    • University of Texas Southwestern Medical Center, Department of Surgery, Division of Emergency Medicine, Dallas, TX 75390, USA.
    • Am J Emerg Med. 2013 May 1;31(5):887.e3-5.

    AbstractA 32-year-old man presented to our emergency department (ED) with no complaints after paramedics responded to a fall. Medics noted left-sided weakness on scene. Symptoms were initially absent in the ED, although later recurred, and included dramatically waxing and waning focal weakness. An acute middle cerebral artery ischemic stroke was diagnosed, and tissue plasminogen activator was administered. Despite a fluctuating course of symptoms, our patient ultimately achieved a complete recovery.

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