Schatz R E, Chandraratna P A
Arch Intern Med. 1982 Jun;142(6):1215-6. doi: 10.1001/archinte.142.6.1215.
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.
一名30岁男性因突发怪异行为和言语困难入院，最初被归因于药物中毒。检查发现该年轻男子意识模糊，存在感受性和表达性失语。二尖瓣区可闻及收缩晚期杂音，超声心动图证实存在二尖瓣脱垂。头部计算机断层扫描和脑血管造影显示与左颞枕区梗死相符的异常。由于不存在其他诱发因素，该患者的中风可能与二尖瓣脱垂有关。
