A significant number of individuals worldwide are affected by multifocal ischemic stroke each year. Surprisingly, a considerable portion of these cases show minimal neurological impairments. The cognitive symptom known as acalculia, characterized by the inability to perform basic mathematical tasks. Absence of limb power combined with cognitive problems such as acalculia may indicate that the stroke has specifically impacted regions of the brain that play a greater role in cognitive processing rather than motor abilities. This case report details the medical presentation of a previously healthy and athletic 73-year-old male with a history of alcohol consumption and smoking, presenting with atrial fibrillation and acute ischemic cerebrovascular accident with moderate to mild dementia. Radiological presentation characterized by unusual multifocal cerebral involvement, contrasted with surprisingly minimal neurological deficits
A significant number of individuals worldwide are affected by multifocal ischemic stroke each year. Surprisingly, a considerable portion of these cases show minimal neurological impairments. The cognitive symptom known as acalculia, characterized by the inability to perform basic mathematical tasks. Absence of limb power combined with cognitive problems such as acalculia may indicate that the stroke has specifically impacted regions of the brain that play a greater role in cognitive processing rather than motor abilities. This case report details the medical presentation of a previously healthy and athletic 73-year-old male with a history of alcohol consumption and smoking, presenting with atrial fibrillation and acute ischemic cerebrovascular accident with moderate to mild dementia. Radiological presentation characterized by unusual multifocal cerebral involvement, contrasted with surprisingly minimal neurological deficits
№ | Author name | position | Name of organisation |
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1 | Kadyrkhodjayeva N.S. | PhD | AKFA Medline University Hospital |
2 | Gulomova N.A. | student | Central Asian University |
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1 | 1.Rasuli B, Multifocal ischaemic stroke. Case study, Radiopaedia.org. 2021. (Accessed on 12 Jan 2024) https://doi.org/10.53347/rID-917422.Hautecloque G, Kempf C, Stan C, Vuillemet F, Ahle1 G, SellalF, et al. Multifocal and Microvascular Involvement in Ischemic Stroke During COVID-19: A Cohort Study WithComparison With Non-COVID-19 Stroke. Frontiers in Neurology. 2021; Vol.12. https://doi.org/10.3389/fneur.2021.7321943.Jeong S-M, Lee HR, Han K, Jeon KH, Kim D, Yoo JE, et al. Association of Change in Alcohol Consumption With Risk of Ischemic Stroke. AHA journal. 2022;53(8):2488-96. https://www.ahajournals.org/doi/10.1161/STROKEAHA.121.0375904.Bour A, Rasquin S, Boreas A, Limburg M and Verhey F. How predictive is the MMSE for cognitive performance after stroke?. Journal of Neurology.2010, 257:630–37. https://doi.org/10.1007/s00415-009-5387-95.Weaver NA, Kancheva AK, Lim S, Biesbroek JM, Kang Y, Kim BJ, et al. Post-stroke cognitive impairment on the Mini-Mental State Examination primarily relates to left middle cerebral artery infarcts. International Journal of Stroke. 2021 16(8):981-89. https://doi.org/10.1177/17474930209845526.Jeong JY, Han SK, Shin DH, Na1 JU, Leel HJ, Choil PC, et al. Diffusion-weighted imaging–fluid-attenuated inversion recovery mismatch is associated with better neurologic response to intravenous thrombolytic therapy in acute ischemic stroke patients. Clinical and Experimental Emergency Medicine. 2015, 2(1):31–37. https://doi.org/10.15441/ceem.14.0437.Zhou Y, Fox D, Anand A, Elhaj A, Kapoor A, Najibi F, et al. Artery of Percheron Infarction as an Unusual Cause of Korsakoff's Syndrome. Case Reports in Neurological Medicine. vol. 2015, Article ID 927809, 6 pages, 2015. https://doi.org/10.1155/2015/9278098.Tang EY, AmiesimakaO, Harrison SL, Green E, Price C, Robinson L, et al. Longitudinal Effect of Stroke on Cognition: A Systematic Review. Journal of the American Heart Association, 2018, 7(2) https://doi.org/10.1161/JAHA.117.0064439.Mukamal, KJ. The Effects of Smoking and Drinking on Cardiovascular Disease and Risk Factors. Alcohol Research & Health. 2006, 29(3):199-202. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6527044/10.Schmahmann JD, MacMore J, & Vangel M. Cerebellar stroke without motor deficit: Clinical evidence for motor and non-motor domains within the human cerebellum. Neuroscience. 2009, 162(3):852-61. https://doi.org/10.1016/j.neuroscience.2009.06.023 |