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A schizophrenic patient with cerebral infarctions after hemorrhagic shock.
MedLine Citation:
PMID:  23493336     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
We herein report the fourth case of cerebral infarction, concomitant with hemorrhagic shock, in English literature. A 33-year-old male, who had been diagnosed with schizophrenia and given a prescription for Olanzapine, was discovered with multiple self-inflicted bleeding cuts on his wrist. On arrival, he was in hemorrhagic shock without verbal responsiveness, but his vital signs were normalized following infusion of Lactate Ringer's solution. The neuroradiological studies revealed multiple cerebral ischemic lesions without any vascular abnormality. He was diagnosed with speech apraxia, motor aphasia, and dysgraphia, due to multiple cerebral infarctions. As there was no obvious causative factor with regard to the occurrence of cerebral infarction in the patient, the hypoperfusion due to hemorrhagic shock, and the thromboembolic tendency due to Olanzapine, might have acted together to lead to the patient's cerebral ischemia.
Authors:
Youichi Yanagawa; Keiichiro Ohara; Yasutaka Tanaka; Ryota Tanaka
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of emergencies, trauma, and shock     Volume:  6     ISSN:  0974-2700     ISO Abbreviation:  J Emerg Trauma Shock     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2013-03-15     Completed Date:  2013-03-18     Revised Date:  2013-04-16    
Medline Journal Info:
Nlm Unique ID:  101493921     Medline TA:  J Emerg Trauma Shock     Country:  India    
Other Details:
Languages:  eng     Pagination:  53-5     Citation Subset:  -    
Affiliation:
Department of Emergency Medicine and Disaster Medicine, Juntendo University, Tokyo113-8431, Japan.
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