%0 Journal Article
%T Cerebral Ischemia versus MS in Young Adults Clinical Imaging Diagnosis Difficulties and Recovery Methods
%A Any DOCU-AXELERAD
%A Dan DOCU-AXELERAD
%J Timisoara Physical Education and Rehabilitation Journal
%D 2012
%I Mirton Publishing
%R 10.2478/v10325-012-0005-9
%X Ischemia in young adults is often the result of non-atherosclerotic vasculopathies, cardiac embolism or clotting disorders. One third of young adults ischemic stroke etiology remains undetermined. Materials and methods: We present the case of a patient aged 42, diagnosed with probable MS without cardiovascular or metabolic risk factors, presented to our clinic for decrease of force at right limbs and recent dysarthria. Results and discussion: The history revealed recurrent episodes of right hemi-body numbness and vertigo labeled as relapse in MS. Patient is non smoker, does not take oral contraceptives and has no history of cerebrovascular disease in the family. Extensive imaging and laboratory investigations confirms the ischemic clinical picture, carotid Doppler ultrasound showing significant stenosis of the bulbo-left carotid. The patient is guided to the cardiovascular surgery clinic for specialized treatment. Two weeks postoperatively we apply a kinetic-therapy program. Conclusion: Uncertain imaging and lack of vascular and metabolic risk factors do not preclude ischemia in young adults.
%K ischemic stroke
%K recovery
%K young adult
%U http://www.tperj.ro/en/wp-content/uploads/2013/01/10325-Voulme5_Issue_9_05_paper.pdf