A Man Presented with Acute Polyopia: A Case Report
Abstract
A 52-year-old Thai male presented with acute onset of seeing multiple images when focusing on one object or polyopia. The symptom persisted even though he closed one of his eyes. The neurological examination revealed normal extraocular movement and visual field. His magnetic resonance imaging (MRI brain) showed acute tiny infarction at left occipital cortex. There was no large vessel occlusion from vascular imaging study. Holter monitoring revealed normal sinus rhythm without detectable arrhythmia. Agitated saline with TCD/TTE/TEE showed large shunt-size patent foramen ovale without atrial septal aneurysm. The diagnosis of acute ischemic stroke due to cardioembolism from patent foramen ovale was made. In summary, the thorough history taking together with appropriate investigation could help diagnose the uncommon cause of stroke, which lead to proper treatment.
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ข้อความภายในบทความที่ตีพิมพ์ในวารสารสมาคมโรคหลอดเลือดสมองไทยเล่มนี้ ตลอดจนความรับผิดชอบด้านเนื้อหาและการตรวจร่างบทความเป็นของผู้นิพนธ์ ไม่เกี่ยวข้องกับกองบรรณาธิการแต่อย่างใด การนำเนื้อหา ข้อความหรือข้อคิดเห็นของบทความไปเผยแพร่ ต้องได้รับอนุญาตจากกองบรรณาธิการอย่างเป็นลายลักษณ์อักษร ผลงานที่ได้รับการตีพิมพ์ในวารสารเล่มนี้ถือเป็นลิขสิทธิ์ของวารสาร
