Economy class stroke syndrome after a long drive

Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association
Ryota TanakaShigeki Tanaka

Abstract

Economy class stroke syndrome is a cardiovascular complication associated with long periods of travel, only a few cases have been reported after long drives, however. The patient, a 62-year-old professional driver, had driven a truck for 2 days with minimal rest. While driving, he noted left foot paresis and numbness, along with geographical disorientation. Magnetic resonance imaging of the brain revealed multiple cerebral embolisms in the bilateral cerebral hemisphere. The only complications representing a stroke risk in this patient were a patent foramen ovale and an anterior septal aneurysm, as detected by transesophageal echocardiography. The patient was diagnosed with paradoxical cerebral embolism following his long drive. This case report examines the paradoxical cerebral emboli documented in a patient following a long period of driving.

References

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Sep 17, 2003·Clinical and Laboratory Haematology·D J O'Keeffe, T P Baglin
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Citations

Oct 14, 2014·The American Journal of Forensic Medicine and Pathology·Gabriele MargiottaMassimo Lancia
Aug 16, 2016·Personality & Social Psychology Bulletin·Cynthia S LevineCarol D Ryff

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