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Clinical Medicine: Pathology

Synopsis: An open access, peer reviewed electronic journal that covers histopathology, haematology, biochemistry, virology, parasitology, infection control and medical microbiology.


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About this journal

ISSN: 1178-1181


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Clinical Medicine: Pathology is an international, open access, peer reviewed journal which considers manuscripts on histopathology, haematology, biochemistry, virology, parasitology, infection control and medical microbiology.

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First-ever Ischemic Stroke after a Flight in a Patient with Prior Poliomyelitis

Authors: Cheng-Chiang Chang, Shin-Tsu Chang, Chih-Hung Ku, Shang-Lin Chiang, Hsiao-Ying Chang, Min-Hsin Lai, Kao-Chung Tsai and Liang-Cheng Chen
Publication Date: 01 Feb 2008
Clinical Medicine: Pathology 2008:1 1-5

Cheng-Chiang Chang1, Shin-Tsu Chang1, Chih-Hung Ku2, Shang-Lin Chiang1, Hsiao-Ying Chang3, Min-Hsin Lai1, Kao-Chung Tsai1 and Liang-Cheng Chen1

1Department of Physical Medicine and Rehabilitation, Tri-Service General Hospital, School of Medicine, National Defense Medical Center, Taipei, Taiwan. 2School of Public Health, National Defense Medical Center, Taipei. Taiwan. 3Department of Nursing, Tri-Service General Hospital, Taipei, Taiwan.

Abstract

Survivors of poliomyelitis sometimes travel by air with mobility assistance. However, prolonged seating during long-haul flights may also possibly produce stroke events on polio-inflicted patients. A 48-year-old polio-inflicted male suffered a stroke after an extended flight. A two-dimensional echocardiography was normal without detected patent foramen ovale or dyskinetic segment. The venodynamic variables were all within normal limits. MR Imaging studies revealed acute cerebral infarction in the distribution of the right middle cerebral artery and posterior watershed area. Hematological examination revealed positive anti-cardiolipin IgG antibody which might contribute to the risk of thrombosis as an underlying condition in addition to immobilization. This is the fi rst presentation of ischemic stroke after a flight in a patient with prior poliomyelitis. In addition to decompression sickness, economy class stroke syndrome and postpoliomyelitis syndrome, the physician should also take other coagulation disorders into consideration during the investigation.

Categories: Pathology


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