Stroke: Is it sometimes overlooked?
Abstract
Introduction Acute stroke is defined as an abrupt focal or global disorder of cerebral function. Ischemic stroke is significantly more frequent than the hemorrhagic stroke (75-80% of all). Occlusion of a blood vessel by thrombus or embolus causes it and it is characterized by sudden onset and rapid development of neurological symptoms. Object The aim of this paper is to point out that in cases when patients present with acute mental disorder and no apparent neurological symptoms, stroke should be considered as a possible diagnosis. Materials and methodology The data from the medical report and from the discharge list have been used to present this case of a patient with ischemic stroke. Results This is a case report of a 66-year-old male patient who suddenly developed a kind of a conduct disorder and psychomotor agitation, followed by confusion and occasional aggression. The EMS team found the patient in the bathroom of his home, switching on and off the washing machine. His wife said that he woke up 3 hours ago and began to behave strangely (urinated all over the house). Known facts about his previous condition were the following: smoker, with no history of alcohol abuse, had high blood pressure, but didn't take any medications. Verbal communication existed, though confused and anxious, patient spoke fluently with occasional meaningless words. He could move and execute certain simple tasks, but he had no insight into his condition; he refused help, resisted examination as…
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