From the Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, 330 Brookline Ave, LY318, Boston, MA 02215.
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.
Delbanco TL, Daley J, Hartman EE. A 36-Year-Old Woman Recuperating From a Stroke, 1 Year Later. JAMA. 1998;279(8):621. doi:10.1001/jama.279.8.621