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A 55-year-old man developed ischemic stroke after three episodes of transient dysarthria and left hemiplegia, a typical manifestation of capsular warning syndrome. Magnetic resonance imaging of the brain showed bilateral basal ganglionic infarction. The patient had no significant risk of stroke. However, the systemic manifestations, an elevated titer of perinuclear anti-neutrophilic cytoplasmic antibody and a skin biopsy revealing leukocytoclastic venulitis confirmed the underlying microscopic polyangiitis. |
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anemia antineutrophil cytoplasmic autoantibodies cerebral infarction,small,deep cerebrovascular accident cerebrovascular accident,bilateral cerebrovascular accident,multiple cerebrovascular accident,recurrent cerebrovascular accident,stuttering C-reactive protein,elevated microscopic polyangiitis mononeuritis multiplex MRI,abnormal rheumatoid arthritis factor(R.A.factor) sedimentation rate,elevated skin,biopsy small vessel disease small vessel vasculitis thrombocytosis vasculitides
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