title: Economy class stroke syndrome after a long drive.
abstract: 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.
authors.affiliation: Department of Neurology, Juntendo University Urayasu Hospital, Chiba, Japan. r_tanaka@juntendo.ac.jp
authors.forename: Ryota
authors.initials: R
authors.lastname: Tanaka
authors.forename: Tadaaki
authors.initials: T
authors.lastname: Kawanabe
authors.forename: Yoshiya
authors.initials: Y
authors.lastname: Yamauchi
authors.forename: Hideki
authors.initials: H
authors.lastname: Shimura
authors.forename: Yasutaka
authors.initials: Y
authors.lastname: Tanaka
authors.forename: Nobukazu
authors.initials: N
authors.lastname: Miyamoto
authors.forename: Yuji
authors.initials: Y
authors.lastname: Ueno
authors.forename: Takao
authors.initials: T
authors.lastname: Urabe
authors.forename: Nobutaka
authors.initials: N
authors.lastname: Hattori
authors.forename: Shigeki
authors.initials: S
authors.lastname: Tanaka
mesh_terms: 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