TY - CHAP M1 - Book, Section TI - Cerebral Vascular Accident A1 - Hayden, Jr, J. William A1 - Chumley, Heidi S. A2 - Usatine, Richard P. A2 - Smith, Mindy A. A2 - Mayeaux, Jr., E.J. A2 - Chumley, Heidi S. PY - 2019 T2 - The Color Atlas and Synopsis of Family Medicine, 3e AB - A 65-year-old hypertensive black man presented to the emergency department with onset of right face, arm, and hand paralysis, and difficulty communicating. Rapid diagnostic testing using MRI revealed an ischemic infarct in the left middle cerebral artery (Figure 241-1). He was evaluated by a stroke response team and was found to be a candidate for tissue plasminogen activator (TPA). After the stroke, he was treated with aspirin, antihypertensives, and cholesterol-lowering medication. He recovered 80% of his neurologic deficit over the next 3 months. Figure 241-2 is a noncontrast CT image of this patient 2 weeks later. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/10/05 UR - accessmedicine.mhmedical.com/content.aspx?aid=1164350500 ER -