[Myocardial infarction revealed by ischemic stroke].
Ischemic cerebral infarction associated with myocardial infarction is yet a real diagnosis challenge. If during the acute myocardial phase the mechanism is mostly embolic, at long-term, the mechanism is not clearant and other causes should be searched. We report a 50 year old man with ischaemic stroke with strong evidence of myocardial infarction in the late phase with wall-motion abnormality and mural clot revealed by echocardiography and Q waves. Atrial fibrillation was suspected and no other abnormalities could be found. The diagnosis of cardio-embolic ischaemic stroke could not be made with certainly.
Longo
Salma
S
Service de cardiologie Hôpital Habib Thameur, Montfleury, Tunis.
Mghaieth
Fethia
F
Kraiem
Sondos
S
Hmem
Mohamed
M
Battikh
Kaïs
K
Ben Ameur
Youssef
Y
Terras
Mouna
M
Bouraoui
Lilia
L
Slimane
Mohamed Lotfi
ML
D001281:Atrial Fibrillation; D002545:Brain Ischemia / Q000209:etiology*; D003937:Diagnosis, Differential; D004452:Echocardiography; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications* / Q000175:diagnosis*; D020521:Stroke / Q000209:etiology*