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June 1982

Mitral Valve Prolapse: Association With Bizarre Behavior, a Confusional State, and Aphasia

Author Affiliations

From the Division of Cardiology, University of Southern California (USC) School of Medicine, USC Medical Center, Los Angeles.

Arch Intern Med. 1982;142(6):1215-1216. doi:10.1001/archinte.1982.00340190171028

• A 30-year-old man was admitted to the hospital with a history of sudden onset of bizarre behavior and difficulty in speaking that initially was attributed to drug intoxication. Examination disclosed a confused young man with receptive and expressive aphasia. A late systolic murmur was heard in the mitral area and echocardiography confirmed the presence of mitral valve prolapse. A computed tomographic scan of the head and cerebral angiography showed abnormalities consistent with an infarct of the left temporo-occipital region. Since no other predisposing factors were present, this patient's stroke was probably related to mitral valve prolapse.

(Arch Intern Med 1982;142:1215-1216)

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