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Images in Neurology
June 2009

Liposuction in Mind

Arch Neurol. 2009;66(6):800-801. doi:10.1001/archneurol.2009.118

A 41-year-old male patient with a history of hypercholesterolemia, stroke, and congestive heart failure that required an implantable cardioverter defibrillator presented 45 minutes from stroke symptom onset. His medical history was also significant for myocardial infarction that required 2-vessel percutaneous transluminal coronary angioplasty and stenting with triple coronary bypass surgery complicated by acute intraoperative rethrombosis.

Physical examination revealed a decreased level of consciousness, right hemiplegia, aphasia, and a National Institutes of Health Stroke Scale score of 16. Computed tomography results at 1 hour postictus were normal.