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Association With Bizarre Behavior, a Confusional State, and Aphasia

Robert E. Schatz, MD; Premindra A. N. Chandraratna, MD

Arch Intern Med. 1982;142(6):1215-1216.

Abstract
• A 30-year-old man was admitted to the hospital with a history of sudden onset of bizarre behavior and difficulty in speaking that initially was attributed to drug intoxication. Examination disclosed a confused young man with receptive and expressive aphasia. A late systolic murmur was heard in the mitral area and echocardiography confirmed the presence of mitral valve prolapse. A computed tomographic scan of the head and cerebral angiography showed abnormalities consistent with an infarct of the left temporo-occipital region. Since no other predisposing factors were present, this patient's stroke was probably related to mitral valve prolapse.

(Arch Intern Med 1982;142:1215-1216)

Author Affiliations
From the Division of Cardiology, University of Southern California (USC) School of Medicine, USC Medical Center, Los Angeles.

Footnotes
Accepted for publication March 15, 1982.

Reprint requests to the Division of Cardiology, USC School of Medicine, USC Medical Center, 2025 Zonal Ave, Los Angeles, CA 90033 (Dr Chandraratna).

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