Journal Article

Case 12-2009

Frosch, Matthew P, Brass, Steven D, Copen, William A, Smith, Eric E, Arboleda-Velasquez, Joseph F

2009

Overview

A 46-year-old man presented to this hospital with migraine headache, a 4-year history of neurologic events resulting in aphasia and hemiparesis, and a family history of two similarly affected brothers. Neuroimaging studies showed white-matter and deep gray-matter abnormalities. A diagnostic test was performed. A 46-year-old man presented to the hospital with migraine headache, a 4-year history of neurologic events resulting in aphasia and hemiparesis, and a family history of two similarly affected brothers. Presentation of Case A 46-year-old man was seen in the neurology clinic because of hemiparesis, aphasia, and abnormalities on neuroimaging studies. The patient had been well, except for migraine headaches, until 4 years earlier, when right-sided weakness, clumsiness, and slurred speech developed during a period of 24 hours. A neurologist at another hospital found dysarthria and right central facial weakness; decreased muscle tone in the right arm, with strength 4+/5; and normal muscle tone in the right leg, with strength 4+/5. Strength on the left side was normal, with slightly increased tone in the left arm and normal tone in . . .

• Publisher: Massachusetts Medical Society
• Subject: Aphasia / Blood clots / Drug therapy / Dysphagia / Headaches / NMR / Nuclear magnetic resonance