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Previous Volume 341:1829-1835 December 9, 1999 Number 24 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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Presentation of Case

A 72-year-old, right-handed woman was admitted to the hospital because of slurred speech and agitation.

The patient had a long history of hypothyroidism, hyperlipidemia, and angina pectoris. Five years before admission, a St. Jude Medical prosthetic valve had been inserted to replace a stenotic aortic valve; a double coronary-artery bypass graft was also performed because of severe, symptomatic coronary artery disease. Warfarin therapy was begun.

Several months before admission, the patient began to eat less and lost a considerable amount of weight. She continued her warfarin therapy. During the three months before admission, she had headaches and dizziness, with increasing . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnoses

Dr. Jonathan L. Halperin's Diagnoses

Pathological Discussion

Anatomical Diagnoses

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