3 results match your criteria: "Health and Insurance Hitoyoshi General Hospital[Affiliation]"

We report stroke in a 62-year-old woman who had been on hormone replacement therapy (HRT), estrogen plus progestin, for more than 8 years. She experienced two episodes of transient ischemic attack (TIA), manifesting as right-sided weakness, that persisted for 10-20 min. Magnetic resonance angiography (MRA) obtained before complete stroke, demonstrated severe stenosis of the left middle cerebral artery, without evidence of cerebral infarction.

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Diffusion-weighted magnetic resonance imaging (DWI MRI)-negative transient ischaemic attack (TIA) in hyperacute stroke is a well-known clinical entity. However, no precise analysis of this phenomenon has been reported. We identified 10 patients with TIA or reversible ischaemic neurological deficits (RIND) with no focal hyperintensity on DWI MRI among 108 consecutive acute stroke patients who underwent DWI MRI.

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Article Synopsis
  • The case describes a 43-year-old man diagnosed with Miller Fisher syndrome (MFS) who experienced rapid onset symptoms including ptosis, eye muscle paralysis, and severe ataxia.
  • Initial MRI scans revealed lesions in the cauda equina, leading to the diagnosis and subsequent immunotherapy treatment, which improved some symptoms but not all.
  • A follow-up MRI five months later showed lesions in the spinal posterior column, suggesting they were affecting the posterior nerve roots and contributing to the persistent severe ataxia.
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