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Subtle visual impairment caused by temporoparietal infarction: a case report
1Department of Emergency Medicine, Yeungnam University College of Medicine, Daegu, Republic of Korea.
The Journal of International Medical Research
|June 29, 2023
Summary
A man’s subtle driving discomfort was diagnosed as a right temporoparietal infarction. This case highlights the importance of detailed patient history and neurological exams for diagnosing cerebral infarction, especially with atypical symptoms.
Area of Science:
- Neurology
- Emergency Medicine
Background:
- Cerebral infarction presents with diverse symptoms, often challenging emergency department diagnosis.
- Emergency departments face high patient volumes, complicating the identification of subtle or atypical neurological signs.
Observation:
- A male patient in his 50s presented with mild discomfort while changing lanes during driving.
- Potential confounding factors included recent initiation of diabetes medication and a 2-week driving hiatus.
Findings:
- A thorough neurological examination and magnetic resonance imaging confirmed right temporoparietal infarction.
- The patient was treated with antiplatelet therapy and subsequently discharged.
Implications:
- This case underscores the critical role of comprehensive history-taking and physical examination in diagnosing cerebral infarction.
- Over-reliance on advanced imaging without prioritizing clinical assessment can lead to misdiagnosis, particularly with ambiguous presentations.
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