Female 57 years old.
PERSONAL HISTORY: Acute left sided numbness. NIHSS 5CT No intracranial hemorrhage was noted. There were no early ischemic
There was evidence of chronic bihemispheric periventricular deep small-vessel ischemic changes. She had a small subcentimeter round lucency in the left lentiform, probably chronic lacunar infarction versus enlarged perivascular space. There appear to be evidence of a right craniotomy and a chronic encephalomalacic cavity occupying predominantly the right temporal lobe, compensatory enlargement of the ipsilateral ventricular system, enlarged right temporal horn.Diagnosis: left hemimotor and hemisensory, objective and subjective findings, probable right cerebral hemispheric ischemic stroke, but differential diagnosis exists; Recurrent transient right hemisphere focal neurological symptoms; possible transient ischemic attacks versus consideration of simple partial motor or sensory seizures, emanating from prior right craniotomy for right intracranial hemorrhage. Status post right craniotomy for right cerebral hemisphere hemorrhage; possible warfarin-associated hemorrhage.
CURRENT HISTORY: In January 2010: ECO Thyroid: Compatible with recurrence of thyroid neoplasia based on the right side, with two nodular lesions, as described, one with vein invasion yugular.Se therapeutic doses of I- 131, tracking being performed after negative antithyroid antibody negative.