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Michael Alexander, MD

JAMA. 1997;277(24):1970-1976.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

DR Delbanco: Mrs X is a 36-year-old left-handed woman recuperating from left hemiparesis that occurred in late December 1996. Married and the mother of 4 children, Mrs X has a large, caring extended family. Prior to the stroke, she worked in a warehouse in a job requiring physical labor. She is enrolled in a commercial managed care program. At the time of her stroke, she did not have a primary physician.

Prior to her stroke, the patient had been in good health. She has never smoked and had 4 uneventful pregnancies and deliveries. There was no prior history of hyperlipidemia, hypertension, rheumatic fever, or known rheumatic heart disease. There was no family history of vascular disease or stroke.

The week before the stroke, Mrs X had symptoms of a mild upper respiratory tract infection. While shopping, she suddenly slumped to the ground, unable to move her left side. At a . . . [Full Text PDF of this Article]

Author Affiliations
Discussant

Dr Alexander is affiliated with the Department of Neurology, Harvard University and Beth Israel Hospital, Boston, Mass, and is a rehabilitation consultant for Youville Hospital, Cambridge, Mass.

Footnotes
This conference took place at the combined Neurology Grand Rounds of the Beth Israel Deaconess Medical Center, Brigham and Women's Hospital, Children's Hospital, and Brockton/West Roxbury Veterans Affairs Medical Center, Boston, Mass, and was held at Brigham and Women's Hospital on February 26,1997.

Reprints: Erin E. Hartman, MS, Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, East Campus, 330 Brookline Ave, LY318, Boston, MA02215.

Clinical Crossroads at Beth Israel Deaconess Medical Center is produced and edited by Thomas L. Delbanco, MD, and Jennifer Daley, MD; Erin E. Hartman, MS, is managing editor. Clinical Crossroads section editor: Margaret A. Winker, MD, Senior Editor, JAMA.

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