A Stroke of Bad Luck

Maha Alattar and Joyce Lee-Iannotti

in A Case a Week: Sleep Disorders from the Cleveland Clinic

Published on behalf of Oxford University Press

Published in print September 2010 | ISBN: 9780195377729
Published online April 2013 | e-ISBN: 9780199322985 | DOI:
A Stroke of Bad Luck

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Case 52 introduces a 50-year-oldman who presented to the sleep center with complaints of excessive daytime sleepiness (EDS) and difficulty initiating and maintaining sleep. His symptoms began 1 year prior, following a left middle cerebral artery territory ischemic stroke, although no obvious source for the stroke was found. His medical history was otherwise remarkable for gastroesophageal reflux disease and a nasal fracture about 10 years prior. His family history was significant for coronary artery disease and diabetes mellitus. He took aspirin, ramipril, calcium, lipitor, and a multivitamin daily, and had gained 20 pounds over a year due to inactivity.

Chapter.  1752 words.  Illustrated.

Subjects: Neurology ; Sleep Medicine

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