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 6

Questions 69 refer to the following case.
A 45-year-old woman presents to the emergency department complaining of sudden vision loss in her right eye. She was recently diagnosed with hypertension and takes hydrochlorothiazide. She reports no other active medical problems and has no history suggestive of transient ischemic attack or stroke. Her concerned friend reports that the patient has been struggling at work lately. Her coworkers have complained that she is uncharacteristically rude and abrupt, and her job performance has been erratic. The last audit she performed in her capacity as an accountant contained several errors. The patient has begun seeing a therapist and has blamed her recent problems on feeling depressed.
Several cerebrovascular disease syndromes include cognitive and psychiatric findings. Which of the following conditions does not have cognitive dysfunction as a prominent characteristic?

  •  Behçet’s disease
  •  CADASIL
  •  Fibromuscular dysplasia
  •  Lupus cerebritis
  •  Primary angiitis of the central nervous system (CNS)

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