A Case Report of Rare Acute Ischemic Stroke Due to Meningeal Irritation  

作　　者：Reem AlSherooqi Jad Alkhoury Moiz Bakhiet 

机构地区：[1]Department of Internal Medicine, King Hamad University Hospital Princess Al-Jawhara Center for Genetics and Inherited Diseases, Arabian Gulf University, Manama, Bahrain [2]Department of Molecular Medicine, College of Medicine and Medical Sciences, Princess Al-Jawhara Center for Genetics and Inherited Diseases, Arabian Gulf University, Manama, Bahrain

出　　处：《World Journal of Neuroscience》2018年第2期171-177,共7页神经科学国际期刊（英文）

摘　　要：Stroke is a rapidly developing symptom or sign of loss of cerebral function secondary to interruption of the blood supply due to a thrombus or hemorrhage. These diseased vessels are usually affected by well-recognized risk factors, but in some cases other rare conditions may be related to stroke development. Herein, we introduce one of these rare stroke conditions in a 37-year-old previously healthy male who presented to the emergency department with misleading symptoms and signs of reduced level of consciousness, isolated medical 3rd nerve palsy and possible drug overdose. A thorough neurological examination and investigation demonstrated a case of acute ischemic stroke as a consequence of meningeal irritation with an underlying inflammatory response. The patient was treated simultaneously for both conditions and responded dramatically with full recovery upon discharge. Thus, consideration of acute stroke in patients with no previous known risk factors is highly recommended especially with unusual neurological findings.Stroke is a rapidly developing symptom or sign of loss of cerebral function secondary to interruption of the blood supply due to a thrombus or hemorrhage. These diseased vessels are usually affected by well-recognized risk factors, but in some cases other rare conditions may be related to stroke development. Herein, we introduce one of these rare stroke conditions in a 37-year-old previously healthy male who presented to the emergency department with misleading symptoms and signs of reduced level of consciousness, isolated medical 3rd nerve palsy and possible drug overdose. A thorough neurological examination and investigation demonstrated a case of acute ischemic stroke as a consequence of meningeal irritation with an underlying inflammatory response. The patient was treated simultaneously for both conditions and responded dramatically with full recovery upon discharge. Thus, consideration of acute stroke in patients with no previous known risk factors is highly recommended especially with unusual neurological findings.

关 键 词：MENINGITIS WEAKNESS DIPLOPIA PHOTOPHOBIA EEG 

分 类 号：R73[医药卫生—肿瘤]