Abstract:We report the case of a 34-year-old woman with paradoxical embolism due to the combination of patent foramen ovale and pulmonary arterial hypertension. She took norethisterone with ethinylestradiol for endometriosis. She visited our hospital with sudden dizziness and vomiting. Only gaze evoked nystagmus when looking left was observed, and National Institutes of Health Stroke Scale (NIHSS) was 0. Magnetic resonance imaging (MRI) of the head showed acute brain infarction in the left temporal lobe and left cerebe… Show more
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