Case study : ischemic stroke with diffuse infarct in young male patient with mitral stenosis  

Oleh:

Muljadi, Sendjaja ; Sutrisno, Alfred ; Lison, Linda

Jenis: Article from Journal - ilmiah nasional - terakreditasi DIKTI - non-atma jaya
Dalam koleksi: Universa Medicina vol. 26 no. 04 (Oct. 2007), page 160.
Topik: young adult; extensive infarction; mitral stenosis; embolism

Ketersediaan

Perpustakaan FK Nomor Panggil: U01.K.01 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Background Although there is a steady rise in the incidence of stroke in young adults with increasing age, stroke are encountered less frequently than in the middle aged and elderly. The cause of ischemic stroke is more heterogenous among young adults than among older patients. Case Description We report a case of 39 years old man, who suffered from seizures about 30 minutes, one hour before admitted to the hospital and at that time he was somnolent, the brain CT scan didn’t show any infarction. But 12 hours later, the second brain CT scan showed the extensive infarction on the right hemi-cerebral. Also the echocardiography showed a large left atrium, mitral stenosis in mitral valves, with area use 0.94 cm2 and mitral score 14. Electro cardiogram (EKG) showed sinus rhythm. Conclusion Heart disease is a potent cause of stroke in all ages. This patient had a big problem with his heart and caused the occlusion (the second brain CT scan showed the extensive infarction). This patient passed away after 6 days hospitalization. The prognosis of ischaemic stroke in young adult with mitral stenosis not so good.

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