several episodes of unexplained syncope. neurologic: significant extensor weakness of the left arm and leg, poor coordination. assessment: cerebrovascular accident
variable concern suggests element of denial of illness which could be secondary to an anterior cerebral artery infarct. he has no known risk factors. affect is normal, some depressive symptoms, states that every time things go well for him something bad happens
striking findings are the presence of an area of increased signal intensity in posterior of right globus pallidus and left head of the caudate nucleus. the brainstem, cerebellum, internal auditory canals and pituitary fossa appear normal