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Arch Neurol. 2004;61:129-130.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

A 56-year-old woman with a history of colon cancer had sudden onset of left hemineglect, dysarthria, left facial weakness, forced right gaze deviation, and left hemianesthesia and hemiparesis with 0/5 (Medical Research Council classification) arm strength and 2/5 leg strength. A head computed tomographic (CT) scan 2 hours after the stroke onset showed minor evidence of ischemia. Magnetic resonance imaging (MRI) and MR angiography on day 2 revealed a malignant middle cerebral artery pattern on diffusion-weighted imaging and fluid-attenuated inversion recovery (Figure 1A) with right middle cerebral artery occlusion (Figure 1B). She was transferred to the intensive care unit because of decreased alertness. A transthoracic echocardiogram revealed a left atrial thrombus and a large thrombotic mass in the descending aorta. A CT scan taken on day 4 (Figure 2A) showed similar results to the MRI. On day 6, the right gaze preference persisted but . . . [Full Text of this Article]

Francisco de Assis Aquino Gondim, MD, PhD
St Louis, Mo

Florian P. Thomas, MA, MD, PhD
Department of Neurology
Saint Louis University School of Medicine
3635 Vista Ave
St Louis, MO 63110
(e-mail thomasfp@slu.edu).