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Transient Middle Cerebral Artery Occlusion Model of Stroke
Published on: August 11, 2023
Acute and reversible micrographia in a patient possibly due to cerebral ischaemia
M Perrin1, D J Cordato, V S Fung
1Department of Neurology, Bankstown-Lidcombe Hospital, Bankstown, NSW, Australia.
Abstract:
We report a patient who developed acute and reversible micrographia, presumably due to cerebral ischaemia, on a background of mutism following a pharyngo-laryngectomy 10 years earlier. Magnetic resonance (MR) imaging showed chronic small vessel disease without evidence of an acute ischaemic lesion on diffusion-weighted sequences. Our patient's micrographia improved significantly within 12 days of symptom onset. The MR imaging was performed within 5 days of symptom onset, suggesting that the lesion was either too small for detection or had resolved on diffusion-weighted sequences.
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