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Golfer's Stroke From Internal Carotid Artery Dissection
Kwang-Dong Choi, MD;
Se-Jin Oh, MD;
Tae-il Yang, MD;
Tae-Hong Lee, MD
Arch Neurol. 2008;65(8):1122-1123.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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A 47-year-old man presented with sudden onset of dysarthria and left-sided weakness while practicing golf on a driving range. His medical history was unremarkable. On examination, he was drowsy, had right gaze preference, and showed visual and tactile extinction of the left stimuli. He also showed left central facial palsy and left hemiparesis. Diffusion-weighted magnetic resonance imaging of the brain showed infarctions in the territory of the right middle cerebral artery (Figure, A and B). Cerebral angiography revealed dissection of the right internal carotid artery and occlusion of the right middle cerebral artery (Figure, C and D). There was no underlying defect in the dissecting artery, and the patency of other cerebral arteries was normal. He underwent stent-assisted angioplasty of the right internal carotid artery and subsequent intraarterial urokinase injection in the right middle . . . [Full Text of this Article]COMMENT
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