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Tue Feb 13 20:50:56 GMT 2007

In a message dated 2/13/2007 2:36:59 PM Central Standard Time,  
errington at erringtonthompson.com writes:

Wouldn't  emboli give a specific vascular distribution?  She didn't have
that.  

from the carotids, maybe, unless there was vascular disease on both sides.  
>From a left atrial clot, possibly not. I've defiantly seen enough 'organic 
brain  syndrome' patients over the years where there was evidence of frequent, 
randomly  distributed microembolic disease. I will admit that this level of 
acuity (large  scale shower over the space of hours to a day or two at the most) is 
unusual,  but it's worth checking out.

I know that you enjoy zebras, Errington, but the others that come to mind  
(various parasites, including malaria of the brain) are almost unicorns in the  
situation you mention.

ck
Charles S. Krin, DO FAAFP

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