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10.1097/MD.0000000000010146 http://scihub22266oqcxt.onion/10.1097/MD.0000000000010146 C5895360!5895360!29595639     free     free     free Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       Medicine+(Baltimore) 2018 ; 97 (13): ä Nephropedia Template TP {{tp|p=29595639|t=2018. An overlooked cause in a patient with recurrent ischemic stroke: A case report |pdf=|usr=}}{{29595639}} gab.com Text An overlooked cause in a patient with recurrent ischemic stroke: A case report JO: Medicine (Baltimore) http://www.kidney.de/pget.php?&tw=1&pmid=29595639 #FOAvip Rationale:: The majority of ischemic strokes are due to cardioembolism, large vessel atherothromboembolism, small vessel occlusive disease, or other unusual mechanisms. In most clinical settings, many strokes without a well-defined etiology requires a thorough diagnostic evaluation, otherwise the underlying cause might be easily overlooked. Here we report on the rare cause of a patient with recurrent stroke. Patient concerns:: A 50-year-old female patient had a 4-year history of recurrent acute onset of neurological deficits. Diagnoses:: Contrast transcranial Doppler ultrasound detected a typical ?curtain? appearance of microbubbles, indicative of a right-to-left shunt. Computed tomography pulmonary angiogram was then initiated and a pulmonary arteriovenous malformation (PAVM) in the left lower lobe was found. Interventions:: The patient underwent percutaneous closure of PAVM. Afterward, warfarin was commenced because of the high risk of further thromboembolic complications in the following weeks to months. Post-treatment computed tomography pulmonary angiogram (CTPA) demonstrated successful closure of PAVM. No microbubble signals were detected on post-treatment contrast transcranial Doppler ultrasound (TCD) study. Outcomes:: The patient suffered no further embolic events during 3-year follow-up. No recanalization or new PAVMs were detected on CT scan. Lessons:: Neurological PAVM-associated risks are common but remain poorly recognized. A strategic protocol is imperative in searching for the etiologies of cryptogenic stroke. Twit Text FOAVip An overlooked cause in a patient with recurrent ischemic stroke: A case report ????Medicine (Baltimore) http://www.kidney.de/pget.php?&tw=1&pmid=29595639 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=29595639 #FOAvip English Wikipedia <ref>{{Cite pmid|29595639}}</ref> An overlooked cause in a patient with recurrent ischemic stroke: A case report #MMPMID29595639 Yang X; Liu M; Zhu Y; Zhang X; Gao S; Ni J Medicine (Baltimore) 2018[Mar]; 97 (13): ä PMID29595639show ga Rationale:: The majority of ischemic strokes are due to cardioembolism, large vessel atherothromboembolism, small vessel occlusive disease, or other unusual mechanisms. In most clinical settings, many strokes without a well-defined etiology requires a thorough diagnostic evaluation, otherwise the underlying cause might be easily overlooked. Here we report on the rare cause of a patient with recurrent stroke. Patient concerns:: A 50-year-old female patient had a 4-year history of recurrent acute onset of neurological deficits. Diagnoses:: Contrast transcranial Doppler ultrasound detected a typical ?curtain? appearance of microbubbles, indicative of a right-to-left shunt. Computed tomography pulmonary angiogram was then initiated and a pulmonary arteriovenous malformation (PAVM) in the left lower lobe was found. Interventions:: The patient underwent percutaneous closure of PAVM. Afterward, warfarin was commenced because of the high risk of further thromboembolic complications in the following weeks to months. Post-treatment computed tomography pulmonary angiogram (CTPA) demonstrated successful closure of PAVM. No microbubble signals were detected on post-treatment contrast transcranial Doppler ultrasound (TCD) study. Outcomes:: The patient suffered no further embolic events during 3-year follow-up. No recanalization or new PAVMs were detected on CT scan. Lessons:: Neurological PAVM-associated risks are common but remain poorly recognized. A strategic protocol is imperative in searching for the etiologies of cryptogenic stroke. äAn overlooked cause in a patient with recurrent ischemic stroke: A cas(epmc).pdf DeepDyve Pubget Overpricing