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NEUROLOGY 1985;35:896
© 1985 American Academy of Neurology

Nonseptic cardiogenic cerebral embolic stroke

Clinical-CT correlations

Leon A. Weisberg, MD

Department of Neurology and Psychiatry of the Tulane Medical Center, Department of Neurology of the Charity Hospital, and the Department of Neurology of the Veterans Administration Hospital of New Orleans, LA.

We studied 35 patients with nonseptic cardiogenic cerebral emboli. In 28 cases, there was sudden onset with maximal neurologic deficit within 1 hour; in 7 cases, there was progression in 24 hours. In six cases, neurologic abnormality worsened in the first week after an initial period of stabilization. CT showed evidence of a cerebral infarct in all cases; in nine cases, this was hemorrhagic. There was more than one lesion in six cases. In four of the six cases with delayed neurologic deterioration, later CT showed increased mass effect or recent hemorrhage within the infarct.

Address correspondence and reprint requests to Dr. Weisberg, Department of Neurology, Tulane Medical Center, 1430 Tulane Avenue, New Orleans, LA 70112.

Accepted for publication October 12, 1984.




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