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Liposuction in Mind
Iris Q. Grunwald, MD, PhD;
Arani Bose, MD;
Tobias Struffert, MD;
Bernd F. Romeike, MD, PhD;
Maria Politi, MD;
Wolfgang Reith, MD, PhD;
Anton Haass, MD, PhD
Arch Neurol. 2009;66(6):800-801.
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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 41-year-old male patient with a history of hypercholesterolemia, stroke, and congestive heart failure that required an implantable cardioverter defibrillator presented 45 minutes from stroke symptom onset. His medical history was also significant for myocardial infarction that required 2-vessel percutaneous transluminal coronary angioplasty and stenting with triple coronary bypass surgery complicated by acute intraoperative rethrombosis.
Physical examination revealed a decreased level of consciousness, right hemiplegia, aphasia, and a National Institutes of Health Stroke Scale score of 16. Computed tomography results at 1 hour postictus were normal.
Intravenous administration of recombinant tissue plasminogen activator (rtPA) (90 mg/30 min) initiated 1 hour 45 minutes postictus failed to elicit clinical improvement. Subsequent angiography confirmed persistent occlusion of the left middle cerebral artery. Because the patient was . . . [Full Text of this Article] COMMENT
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