A 65-year-old man with a history of chronic obstructive pulmonary disease, hyperlipidemia, and hypertension was seen in clinic for hospital follow-up. He had previously been admitted to the hospital with slurred speech and aphasia and diagnosed as having a left middle cerebral artery ischemic infarct. Tissue plasminogen activator was administered with a positive neurologic outcome. His only residual deficit was numbness in 3 digits in his right hand impacting his dexterity, which was improving with therapy.
Wolfe AM, Ari M. Patent Foramen Ovale and Stroke Prevention—To Close or Not to CloseA Teachable Moment. JAMA Intern Med. 2014;174(10):1545-1546. doi:10.1001/jamainternmed.2014.3923