Letter to the Editor| Volume 176, ISSUE 2, e54-e55, September 20, 2014

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Submillisievert ECG-gated whole thoracic CT-angiography for evaluation of a complex congenital heart defect in a young woman

      A 30 year old Caucasian woman presented to the emergency department with recurrent occipital headache, amnesic aphasia and apraxia of the upper extremities being exaggerated during physical and emotional stress for one week. 40 days ago the woman gave birth to her third child, an apparently healthy female. Cerebral magnetic resonance imaging (MRI) showed evidence of sub-acute ischemia at the left frontal insula, corresponding to an embolic occluded distal side branch of the mid-cerebral artery. The patient was immediately transferred to the stroke unit.


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