Economy class stroke syndrome after a long drive.
Economy class stroke syndrome is a cardiovascular complication associated with long periods of travel, only a few cases have been reported after long drives, however. The patient, a 62-year-old professional driver, had driven a truck for 2 days with minimal rest. While driving, he noted left foot paresis and numbness, along with geographical disorientation. Magnetic resonance imaging of the brain revealed multiple cerebral embolisms in the bilateral cerebral hemisphere. The only complications representing a stroke risk in this patient were a patent foramen ovale and an anterior septal aneurysm, as detected by transesophageal echocardiography. The patient was diagnosed with paradoxical cerebral embolism following his long drive. This case report examines the paradoxical cerebral emboli documented in a patient following a long period of driving.
Tanaka
Ryota
R
Department of Neurology, Juntendo University Urayasu Hospital, Chiba, Japan. r_tanaka@juntendo.ac.jp
Kawanabe
Tadaaki
T
Yamauchi
Yoshiya
Y
Shimura
Hideki
H
Tanaka
Yasutaka
Y
Miyamoto
Nobukazu
N
Ueno
Yuji
Y
Urabe
Takao
T
Hattori
Nobutaka
N
Tanaka
Shigeki
S
D001334:Automobile Driving; D038524:Diffusion Magnetic Resonance Imaging; D017548:Echocardiography, Transesophageal; D019320:Embolism, Paradoxical / Q000175:diagnosis / Q000209:etiology*; D054092:Foramen Ovale, Patent / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D006987:Hypesthesia / Q000209:etiology; D020766:Intracranial Embolism / Q000175:diagnosis / Q000209:etiology*; D008297:Male; D008875:Middle Aged; D010291:Paresis / Q000209:etiology; D012307:Risk Factors; D020521:Stroke / Q000175:diagnosis / Q000209:etiology*; D013997:Time Factors