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A 32-year-old right-handed man was admitted to the hospital because of left hemiplegia.
There was a history of hypertension that dated back for three years or more; antihypertensive medications had been prescribed, but the patient was not compliant. He was well otherwise until the evening of entry, when he consumed three cans of beer at a barbecue. A right frontotemporal headache suddenly occurred; his left side became weak, and he abruptly collapsed and struck the left side of his forehead on the ground. He was brought to this hospital; urinary incontinence was observed by ambulance personnel.
The patient was a
Differential Diagnosis
Clinical Diagnosis
Dr. Jorge F. Tapia's Diagnosis
Pathological Discussion
Anatomical Diagnoses
References
Related Letters:
Case 27-1993: Cerebral Vasculitis
D'Agostino A., Scialla S. J., Golden J. A., Koroshetz W. J.
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N Engl J Med 1994;
330:67-68, Jan 6, 1994.
Correspondence
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