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Correspondence
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Volume 333:1709-1711 December 21, 1995 Number 25
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Clinical Problem-Solving: Diagnosing Spousal Abuse

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 by Thomas, P.
To the Editor: Thomas and Lowitt (Aug. 3 issue)1 describe a 41-year-old female cocaine abuser who presented with an ischemic stroke due to occlusion of the right middle cerebral artery, documented by angiography. As an exercise in clinical problem-solving, this report is incomplete in its presentation and flawed in its conclusions. First, the patient is described as having aphasia and left hemiparesis, a combination that would occur only in a subgroup of left-handed persons with right hemispheric speech dominance. It is therefore essential that information about handedness and characteristics of the speech disturbance be provided. Second, no other neurologic deficits . . . [Full Text of this Article]

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