• J Stroke Cerebrovasc Dis · Feb 2012

    Case Reports

    Economy class stroke syndrome after a long drive.

    • Ryota Tanaka, Tadaaki Kawanabe, Yoshiya Yamauchi, Hideki Shimura, Yasutaka Tanaka, Nobukazu Miyamoto, Yuji Ueno, Takao Urabe, Nobutaka Hattori, and Shigeki Tanaka.
    • Department of Neurology, Juntendo University Urayasu Hospital, Chiba, Japan. r_tanaka@juntendo.ac.jp
    • J Stroke Cerebrovasc Dis. 2012 Feb 1; 21 (2): 155-7.

    AbstractEconomy class stroke syndrome is a cardiovascular complication associated with long periods of travel, only a few cases have been reported after long drives, however. The patient, a 62-year-old professional driver, had driven a truck for 2 days with minimal rest. While driving, he noted left foot paresis and numbness, along with geographical disorientation. Magnetic resonance imaging of the brain revealed multiple cerebral embolisms in the bilateral cerebral hemisphere. The only complications representing a stroke risk in this patient were a patent foramen ovale and an anterior septal aneurysm, as detected by transesophageal echocardiography. The patient was diagnosed with paradoxical cerebral embolism following his long drive. This case report examines the paradoxical cerebral emboli documented in a patient following a long period of driving.Copyright © 2012 National Stroke Association. Published by Elsevier Inc. All rights reserved.

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