Abstract | OBJECTIVE: OBSERVATION: A 54-year-old otherwise healthy female presented with acute onset motoric aphasia and brachiofacial right hemiparesis. The cranial computed tomography showed a left striatal ischaemic infarction. The patient's history revealed a variceal sclerotherapy with polydocanol 0,5% three days prior to the onset of symptoms. Echovist TCM doppler revealed a right-to-left shunt. A patent foramen ovale (PFO) was detected by transesophageal echocardiography. There was no evidence of DVT in bilateral lower-extremity venous duplex ultrasound scanning. Other potential risk factors of stroke including thrombophilia could not be identified. The patient was treated with a high dose regimen of heparin and a further anticoagulation treatment was recommended. CONCLUSION:
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Authors | Frank Hanisch, T Müller, M Krivokuca, M Winterholler |
Journal | European journal of medical research
(Eur J Med Res)
Vol. 9
Issue 5
Pg. 282-4
(May 28 2004)
ISSN: 0949-2321 [Print] England |
PMID | 15257884
(Publication Type: Case Reports, Journal Article)
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Topics |
- Brain Ischemia
(diagnosis, etiology, therapy)
- Echocardiography, Transesophageal
- Embolism, Paradoxical
(diagnosis, etiology, therapy)
- Female
- Heart Septal Defects, Atrial
(diagnosis, etiology, therapy)
- Humans
- Middle Aged
- Sclerotherapy
(adverse effects)
- Stroke
(diagnosis, etiology, therapy)
- Varicose Veins
(complications, therapy)
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