title: A 41-year-old man with new headache and altered mental status.
authors: Department of Neurology, University of California-San Francisco, CA, USA.
authors: Erik C B
authors: EC
authors: Johnson
authors: Timothy W
authors: TW
authors: West
authors: Nerissa U
authors: NU
authors: Ko
authors: Jonathan B
authors: JB
authors: Strober
keywords: CNS vasculitis; MELAS syndrome; cerebral thrombosis; mitochondrial diseases; paradoxical embolism; patent foramen ovale; stroke; thrombophilia
references: Clin Lab Med. 2009 Jun;29(2):339-66
references: 19665682
references: Neurology. 2006 Feb 14;66(3):324-30
references: 16476929
references: Echocardiography. 2010 Oct;27(9):1086-92
references: 20546010
references: Stroke. 2006 Oct;37(10):2531-4
references: 16946152
references: Neurology. 1997 Dec;49(6):1541-5
references: 9409343
references: Neurology. 2008 Nov 18;71(21):1696-701
references: 18815386
references: Neurology. 2002 Mar 12;58(5):827-8
references: 11889254
references: Arch Pathol Lab Med. 2002 Nov;126(11):1281-95
references: 12421136
references: Neurology. 2005 Feb 22;64(4):710-2
references: 15728297
references: Clin Chim Acta. 2008 Nov;397(1-2):27-31
references: 18692033
references: Vasc Health Risk Manag. 2008;4(1):167-72
references: 18629351
references: Circulation. 2009 May 26;119(20):2743-7
references: 19433754
references: Stroke. 1995 Oct;26(10):1820-4
references: 7570732
references: Neurology. 2004 Apr 13;62(7):1042-50
references: 15078999
references: Neurology. 1996 Aug;47(2):583-5
references: 8757046