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Clinical Crossroads
February 25, 1998

A 36-Year-Old Woman Recuperating From a Stroke, 1 Year Later

Author Affiliations

From the Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, 330 Brookline Ave, LY318, Boston, MA 02215.

JAMA. 1998;279(8):621. doi:10.1001/jama.279.8.621

In February 1997, at Neurology Grand Rounds, Dr Michael Alexander discussed rehabilitation for a young woman with left-sided neglect, slow mentation, and a dense left hemiparesis following an embolic stroke involving the right middle cerebral artery.1 She was found to have mitral stenosis, although there was no previous history of rheumatic heart disease. Dr Alexander discussed her prognosis and stressed the importance of aggressive physical and occupational therapy and varied psychosocial and functional approaches to rehabilitation.

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