Case 13-2016

• DOI: 10.1056/nejmcpc1501151
• Publication Date: 2016-04-27T23:11:50Z
• Authors: Lee H. Schwamm; Michael R. Jaff; K. Sophia Dyer; R. Gilberto Gonzalez; Amelia E. Huck
• Keywords: Incidental Findings; Travel; Carotid Artery, Common; Foramen Ovale, Patent; Hemiplegia; Infarction, Middle Cerebral Artery; Middle Aged; Kidney Neoplasms; Brain Ischemia; Cerebral Angiography; 3. Good health; Diagnosis, Differential; 03 medical and health sciences; 0302 clinical medicine; Troponin T; Aerospace Medicine; Aphasia; Humans; Female; Carcinoma, Renal Cell; Embolism, Paradoxical

A 49-year-old woman was brought to the ED 2 hours after the onset of hemiplegia and aphasia during a transatlantic flight. Examination revealed evidence of acute ischemic stroke. Additional diagnostic studies were performed.