Paradoxical Stroke Related to Asymmetrical Circle of Willis - Case Presentation and Literature Review

Results and Discussions Case presentation A 82 year-old male patient, smoker, with a history of type 2 diabetes mellitus, uncontrolled hypertension and atrial fibrillation was brought to the emergency department (ED) by his son for evaluation of an 1-hour history of nausea, new onset headache, dizzi...

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Bibliographic Details
Published in:Health science journal 2021-01, Vol.15 (3), p.1-4
Main Authors: Dumitrescu, Ana-Maria, Cobzaru, Roxana Gabriela, Rîpă, Carmen, Slănin&acaron, Ana-Maria, Şufaru, Roxana Florentina, Gavrilescu, Maria Cristina, Rezus, Elena, Gavril, Liviu-Ciprian, Sava, Anca
Format: Article
Language:English
Subjects:
Cardiac arrhythmia
Case reports
Diabetes
Emergency medical care
Hydronephrosis
Hypertension
Literature reviews
Occupational therapy
Patients
Stroke
Therapists
Thromboembolism
Transient ischemic attack
Veins & arteries
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Summary:Results and Discussions Case presentation A 82 year-old male patient, smoker, with a history of type 2 diabetes mellitus, uncontrolled hypertension and atrial fibrillation was brought to the emergency department (ED) by his son for evaluation of an 1-hour history of nausea, new onset headache, dizziness, paresthesia, limb weakness and confusion. An autopsy was performed and revealed the following macroscopical aspects: * Two anatomical variants of of the constituent arteries of the circle of Willis, i.e. hypoplasia of the right posterior communicating artery (PComA) and right fetal posterior cerebral artery (f-PCA). * Presence of atherosclerotic plaques in all the vessels of the circle of Willis * After sectioning the brain, a massive infarcted area with blood reperfusion in the right temporal-occipital lobes was observed. * The autopsy also revealed: acute myocardial infarction, Left kidney hydronephrosis, and pancreatic lipomatosis. According to the American Occupational Therapy Association (AOTA) In the United States, stroke represents an important cause of adult disability, having approximately 7 million individuals that have survived a type of stroke. Patients with posterior cerebral artery stroke usually experience severe visual alteration and will require changing in their activities of daily living (ADLs). [...]they become more exposed to falls and they are not allowed to drive until they get a complete follow-up and a visual-field examination by an ophthalmologist.
ISSN:1791-809X
1791-809X