Simultaneous Acute Multiple Ischemic Strokes of the Left Cerebral Hemisphere and Signs of Acute Anterior STEMI: A Case Report.
Xiaotong Wei, Zhonghua Liu
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Case in brief
A 62-year-old man presented with right-sided limb weakness and speech difficulties, without chest pain. He was diagnosed with acute anterior ST-segment elevation myocardial infarction and acute occlusion of the left internal carotid artery, leading to multiple ischemic strokes in the left cerebral hemisphere. After emergency thrombectomy, he showed mild hemiplegia and regained independence, but later suffered cardiac and respiratory arrest, resulting in death.
Diagnostic / clinical pearl
Clinicians should maintain a high index of suspicion for concurrent cardiac and cerebral events, even in the absence of chest pain, as this can significantly impact management and outcomes.
Why it matters
This case emphasizes the critical need for early coronary evaluation in patients with acute ischemic strokes, as undetected myocardial infarction can lead to severe complications and increased mortality.