title: [Early recurrence of spectacular shrinking deficit as a form of presentation in a cardio-embolic infarct].
abstract: BACKGROUND
  Spectacular shrinking deficit (SSD) is a little known neurovascular syndrome with a monophasic clinical course. It was observed in 4.8% (11 of 231 patients) with cardio-embolic cerebral infarcts in the records of patients with cerebrovascular disease at our hospital.
  
  
  METHODS
  We present the only patient in our records (0.04% of the cardio-embolic infarcts and 0.06% of the patients in the series, which consists of 1,500 consecutive patients with stroke studied over a period of 8 years) with recurrent SSD, which was the form of presentation of rheumatic mitral valve disease with atrial fibrillation.
  
  
  CONCLUSIONS
  As far as we know, the recurrent clinical course of SSD has not previously been described. The clinical case presented shows that early recurrence is possible in SSD.
  
  
  CONCLUSIONS
  The possibility of the presentation of a cerebral infarct of cardioembolic origin in the form of recurrent SSD should be borne in mind. Early recurrence of SSD should also be taken into account to avoid bias in selecting patients for clinical trials to be carried out during the acute phase of cerebrovascular disease.
authors.affiliation: Servicio de Neurología, Hospital del Sagrat Cor. Barcelona, España.
authors.forename: A
authors.initials: A
authors.lastname: Arboix
authors.forename: S
authors.initials: S
authors.lastname: Bechich
mesh_terms: D000368:Aged; D002544:Cerebral Infarction / Q000473:pathology*; D002560:Cerebrovascular Circulation; D005260:Female; D006331:Heart Diseases / Q000150:complications; D006801:Humans; D008279:Magnetic Resonance Imaging; D012008:Recurrence