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recrudescence; recrudescence of prior stroke symptoms
Reactivation of a morbid process or symptoms after a period of remission.
Etiology:
- neurologic deficits as a result of stroke or multiple sclerosis
- triggers include: infection, hypotension, hyponatremia, hypoglycemia, insomnia, stress, & benzodiazepine use
Pathology:
- occurs most commonly with middle cerebral-artery infarcts
Clinical manifestations:
- language, sensory, & motor deficits
- gaze preference, hemianopsia, & neglect not common
- similar to but less severe than initial presentation, improving with resolution of trigger(s)
Management:
- supportive care
References
- Stedman's Medical Dictionary 27th ed, Williams &
Wilkins, Baltimore, 1999.
- NEJM Knowledge+ Question of the Week. Aug 13, 2019
https://knowledgeplus.nejm.org/question-of-week/1860/
- Topcuoglu MA, Saka E, Silverman SB, Schwamm LH, Singhal AB.
Recrudescence of deficits after stroke: clinical and imaging
phenotype, triggers, and risk factors.
JAMA Neurol 2017 Sep 1; 74:1048.
PMID: 28783808 Free PMC Article