Diagnostic assessment
The laboratory and instrumental examinations were made after the
patient’s admission to the neurological unit in order to identify
possible causes of the disease, as well as to exclude other pathologies
with similar clinical features.
Blood tests revealed relative and absolute monocytosis, absolute
basophilia, platelet size decrease, increased levels of total and
conjugated bilirubin, an increase in prothrombin time as well as an
increased fibrinogen level. In addition, an increase in total
cholesterol level (6.7 mmol / L) was observed, which, according to the
SCORE table for European regions indicates a very high risk of
developing fatal cardiovascular diseases for this patient (≥10%)
[8].
The patient underwent brain magnetic resonance imaging, on which the
diffusion restriction zone without clear contours and smoothing of the
adjacent furrows was found in the right temporo-occipital region,
measuring 30 × 90 × 40 mm (Figure 1). A focus with similar
characteristics was also visualized in the right thalamus. MRI data
confirmed the clinically diagnosed cerebral infarction in the RPCAT
basin.