Matches in SemOpenAlex for { <https://semopenalex.org/work/W2997662243> ?p ?o ?g. }
Showing items 1 to 72 of
72
with 100 items per page.
- W2997662243 endingPage "148" @default.
- W2997662243 startingPage "148" @default.
- W2997662243 abstract "Working in emergency regime often requires reaching diagnostic conclusions and subsequent therapeutic acts in a very short time, sometimes relying on decision-making protocols or algorithms, to which some cases may escape. A 42-year-old man referred to Emergency Room for acute onset of global aphasia and right hemianopsia three hours before. He reported previous smoking and intravenous drug abuse and hyperpyrexia two days before hospital admission, associated to headache and neck pain, without evidence of meningism at neurological examination. Urgent blood test showed mild increase of inflammation indexes, while basal CT and CT angio were unremarkable. Interestingly an extemporaneous toxicological test proved a recent intake of methadone and benzodiazepine but bed-side cardiac echo did not reveal pathological findings. Patient was treated with intravenous rtPA and admitted to Stroke Unit. Soon after an electroencephalogram revealed irritative abnormalities on left-temporo-occipital regions, responsive to lorazepam administration, without concomitant clinical improvement. Control CT revealed a recent left parieto-temporal ischemic lesion and cerebrospinal fluid examination disclosed neutrophilic pleocytosis (220 cells/uL) and isolation of Staphylococcus Aureus. A subsequent transesophageal echocardiogram showed severe aortic insufficiency with endocarditic vegetation, while MRI revealed were other minute and multiple bilateral embolic lesions with mild gyral contrast enhancement. Ad-hoc antibiotic treatment was then started, with clinical improvement. Faced with complex diagnostic situations, having diagnostic tools sometimes small and inadequate, and tight deadlines, in emergency setting neurologist may be forced to opt for a therapeutic choice that could then prove to be inadequate or even contraindicated." @default.
- W2997662243 created "2020-01-10" @default.
- W2997662243 creator A5035251108 @default.
- W2997662243 creator A5047252439 @default.
- W2997662243 creator A5064224416 @default.
- W2997662243 creator A5077582840 @default.
- W2997662243 creator A5082691653 @default.
- W2997662243 date "2019-10-01" @default.
- W2997662243 modified "2023-10-14" @default.
- W2997662243 title "Different shades of acute aphasia" @default.
- W2997662243 doi "https://doi.org/10.1016/j.jns.2019.10.721" @default.
- W2997662243 hasPublicationYear "2019" @default.
- W2997662243 type Work @default.
- W2997662243 sameAs 2997662243 @default.
- W2997662243 citedByCount "0" @default.
- W2997662243 crossrefType "journal-article" @default.
- W2997662243 hasAuthorship W2997662243A5035251108 @default.
- W2997662243 hasAuthorship W2997662243A5047252439 @default.
- W2997662243 hasAuthorship W2997662243A5064224416 @default.
- W2997662243 hasAuthorship W2997662243A5077582840 @default.
- W2997662243 hasAuthorship W2997662243A5082691653 @default.
- W2997662243 hasBestOaLocation W29976622431 @default.
- W2997662243 hasConcept C118552586 @default.
- W2997662243 hasConcept C126322002 @default.
- W2997662243 hasConcept C126838900 @default.
- W2997662243 hasConcept C127413603 @default.
- W2997662243 hasConcept C141071460 @default.
- W2997662243 hasConcept C2777483564 @default.
- W2997662243 hasConcept C2779422653 @default.
- W2997662243 hasConcept C2779651940 @default.
- W2997662243 hasConcept C2780168130 @default.
- W2997662243 hasConcept C2780645631 @default.
- W2997662243 hasConcept C2780724011 @default.
- W2997662243 hasConcept C2781156865 @default.
- W2997662243 hasConcept C42219234 @default.
- W2997662243 hasConcept C71924100 @default.
- W2997662243 hasConcept C78519656 @default.
- W2997662243 hasConceptScore W2997662243C118552586 @default.
- W2997662243 hasConceptScore W2997662243C126322002 @default.
- W2997662243 hasConceptScore W2997662243C126838900 @default.
- W2997662243 hasConceptScore W2997662243C127413603 @default.
- W2997662243 hasConceptScore W2997662243C141071460 @default.
- W2997662243 hasConceptScore W2997662243C2777483564 @default.
- W2997662243 hasConceptScore W2997662243C2779422653 @default.
- W2997662243 hasConceptScore W2997662243C2779651940 @default.
- W2997662243 hasConceptScore W2997662243C2780168130 @default.
- W2997662243 hasConceptScore W2997662243C2780645631 @default.
- W2997662243 hasConceptScore W2997662243C2780724011 @default.
- W2997662243 hasConceptScore W2997662243C2781156865 @default.
- W2997662243 hasConceptScore W2997662243C42219234 @default.
- W2997662243 hasConceptScore W2997662243C71924100 @default.
- W2997662243 hasConceptScore W2997662243C78519656 @default.
- W2997662243 hasLocation W29976622431 @default.
- W2997662243 hasOpenAccess W2997662243 @default.
- W2997662243 hasPrimaryLocation W29976622431 @default.
- W2997662243 hasRelatedWork W1890254031 @default.
- W2997662243 hasRelatedWork W2020120663 @default.
- W2997662243 hasRelatedWork W2026095104 @default.
- W2997662243 hasRelatedWork W2047677834 @default.
- W2997662243 hasRelatedWork W2979880696 @default.
- W2997662243 hasRelatedWork W2980093723 @default.
- W2997662243 hasRelatedWork W3005450714 @default.
- W2997662243 hasRelatedWork W3154944956 @default.
- W2997662243 hasRelatedWork W4200283146 @default.
- W2997662243 hasRelatedWork W4232888950 @default.
- W2997662243 hasVolume "405" @default.
- W2997662243 isParatext "false" @default.
- W2997662243 isRetracted "false" @default.
- W2997662243 magId "2997662243" @default.
- W2997662243 workType "article" @default.