Applied Evidence

Is it stroke, or something else?

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References

FIGURE 1
2 patients with common symptoms, vastly different diagnoses


The markedly abnormal perfusion (arrows) this CT image reveals corresponds to an acute occlusion of the left vertebral artery and a subsequent infarct.

An axial postcontrast MRI reveals multiple lesions in the left temporal lobe (arrows) in a patient with rapid-onset mental changes. The diagnosis: cryptococcal meningoencephalitis.

CORRESPONDENCE
Konrad C. Nau, MD, West Virginia University Department of Family Medicine-Eastern Division, 171 Taylor Street, Harpers Ferry, WV 25425; nauk@rcbhsc.wvu.edu

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