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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 329:117-124 July 8, 1993 Number 2
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Case 27-1993— A 32-Year-Old Man with the Sudden Onset of a Right-Sided Headache and Left Hemiplagia and Hemianesthesia
Jorge F. Tapia, and James M. Schumacher

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Presentation of Case

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 . . . [Full Text of this Article]

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.
Extract | Full Text  
N Engl J Med 1994; 330:67-68, Jan 6, 1994. Correspondence

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