Part 1: Ischemic Stroke: Pathophysiology and Principles of Localization

Matthew Brandon Maas, MD, and Joseph E. Safdieh, MD

Dr. Maas is a fellow in Stroke and Neurocritical Care, Harvard Medical School, Departments of Neurology, Massachusetts General and Brigham and Women’s Hospitals, Boston, MA. Dr. Safdieh is an assistant professor of neurology, Department of Neurology and Neuroscience, Weill Medical College of Cornell University, New York, NY.

Question 3

A 64-year-old man collapses in a public place. Emergency medical service (EMS) personnel arrive after approximately 7 minutes, begin cardiopulmonary resuscitation, and apply a defibrillator successfully to treat ventricular fibrillation. Due to the quick EMS response and excellent inpatient care for his cardiac disease, the patient achieves a good recovery. If the patient were to be examined 6 months after the event, what neurologic deficit attributable to the cardiac arrest is most likely to be encountered?

  •  Ataxia
  •  Lower extremity spasticity (spastic diplegia)
  •  Peripheral large fiber sensory neuropathy
  •  Short-term memory impairment

Updated 12/03/2014 • jdw | Copyright ©2014 Turner White Communications