0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address 54.227.141.230. Please contact the publisher to request reinstatement.
ARTICLE |

A 36-Year-Old Woman Recuperating From a Stroke

Michael Alexander, MD
JAMA. 1997;277(24):1970-1976. doi:10.1001/jama.1997.03540480070041.
Text Size: A A A
Published online

DR Delbanco: Mrs X is a 36-year-old left-handed woman recuperating from left hemiparesis that occurred in late December 1996. Married and the mother of 4 children, Mrs X has a large, caring extended family. Prior to the stroke, she worked in a warehouse in a job requiring physical labor. She is enrolled in a commercial managed care program. At the time of her stroke, she did not have a primary physician.

Prior to her stroke, the patient had been in good health. She has never smoked and had 4 uneventful pregnancies and deliveries. There was no prior history of hyperlipidemia, hypertension, rheumatic fever, or known rheumatic heart disease. There was no family history of vascular disease or stroke.

The week before the stroke, Mrs X had symptoms of a mild upper respiratory tract infection. While shopping, she suddenly slumped to the ground, unable to move her left side. At a

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Figures

Tables

References

Letters

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();