Economy Class Stroke Syndrome after a Long Drive

Economy class stroke syndrome is a cardiovascular complication associated with long periods of travel, only a few cases have been reported after long drives, however. The patient, a 62-year-old professional driver, had driven a truck for 2 days with minimal rest. While driving, he noted left foot pa...

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Veröffentlicht in:	Journal of stroke and cerebrovascular diseases 2012-02, Vol.21 (2), p.155-157
Hauptverfasser:	Tanaka, Ryota, MD, PhD, Kawanabe, Tadaaki, MD, Yamauchi, Yoshiya, MD, Shimura, Hideki, MD, PhD, Tanaka, Yasutaka, MD, PhD, Miyamoto, Nobukazu, MD, PhD, Ueno, Yuji, MD, PhD, Urabe, Takao, MD, PhD, Hattori, Nobutaka, MD, PhD, Tanaka, Shigeki, MD, PhD
Format:	Artikel
Sprache:	eng
Schlagworte:	Automobile Driving Cardiovascular Diffusion Magnetic Resonance Imaging Echocardiography, Transesophageal Economy class syndrome Embolism, Paradoxical - diagnosis Embolism, Paradoxical - etiology Foramen Ovale, Patent - complications Foramen Ovale, Patent - diagnosis Humans Hypesthesia - etiology Intracranial Embolism - diagnosis Intracranial Embolism - etiology Male Middle Aged Neurology paradoxical emboli Paresis - etiology patent foramen ovale professional driver Risk Factors Stroke - diagnosis Stroke - etiology Time Factors
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Beschreibung
Zusammenfassung:	Economy class stroke syndrome is a cardiovascular complication associated with long periods of travel, only a few cases have been reported after long drives, however. The patient, a 62-year-old professional driver, had driven a truck for 2 days with minimal rest. While driving, he noted left foot paresis and numbness, along with geographical disorientation. Magnetic resonance imaging of the brain revealed multiple cerebral embolisms in the bilateral cerebral hemisphere. The only complications representing a stroke risk in this patient were a patent foramen ovale and an anterior septal aneurysm, as detected by transesophageal echocardiography. The patient was diagnosed with paradoxical cerebral embolism following his long drive. This case report examines the paradoxical cerebral emboli documented in a patient following a long period of driving.
ISSN:	1052-3057 1532-8511
DOI:	10.1016/j.jstrokecerebrovasdis.2010.06.005