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Philip E. Newman, MD; David B. Simon, MD; Ronald K. Law, MD; Michael P. Earnest, MD

Arch Intern Med. 1980;140(11):1502-1503.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Cerebral infarction in the young adult is uncommon. Nonatheromatous causes for stroke preponderate in young adults, in contrast to cerebral infarction in the older population. When a cause can be identified, cardiac emboli are most frequently responsible, with rheumatic valvular disease, atrial arrhythmias, and bacterial endocarditis the most common underlying conditions; congenital heart disease is a rare association.

REPORT OF A CASE

A 33-year-old man was admitted because of the sudden onset of nonfluent aphasia, right hemiparesis, and transient loss of vision in the left eye.

Cardiac findings included a grade 2/6 systolic murmur heard best at the lower left sternal border, a grade 1/6 pansystolic murmur heard in the left axilla, and a diastolic sound at the lower left sternal border, thought to be a tricuspid flow murmur. Neurologic examination disclosed nonfluent aphasia and mild right hemiparesis. A VDRL serologic test was positive in the 1:65 dilution. The FTA-ABS . . . [Full Text PDF of this Article]

Author Affiliations
From the Divisions of Cardiology and Neurology, Denver General Hospital and the University of Colorado Health Sciences Center.

Footnotes
Accepted for publication April 14, 1980.

Reprint requests to Division of Cardiology, Denver General Hospital, W 8th Avenue and Cherokee Street, Denver, CO 80204 (Dr Newman).

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