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Updated: Aug 15, 2026

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
Published on: January 15, 2017
Stroke in the young aviator
1Naval Aerospace and Operational Medical Institute, Department of Neurology, Naval Air Station, Pensacola, FL 32508-1047.
Abstract:
A robustly healthy aviator experienced a sudden focal impairment in cerebral function from which he rapidly recovered in a manner consistent with the entity known as "spectacular shrinking deficit syndrome." Although brain imaging studies revealed a "lacunar" type lesion involving the caudate nucleus, the clinical picture was much more suggestive of a cardiogenic embolic event. Transthoracic echocardiography was required to demonstrate the probable cause of the stroke (an atrial septal defect). Following surgical repair of the atrial septal defect, the aviator was recommended for waiver to resume duties involving aviation as pilot in command.
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