THE BLUE MAN WHO PRESENTED WITH A STROKE
- Author:
KC Koh
;
MH Wong
- Publication Type:Case Reports
- Keywords:
Cyanosis, clubbing, pulmonary arteriovenous malformation
- From:Malaysian Family Physician
2011;6(1):29-31
- CountryMalaysia
- Language:English
-
Abstract:
A 19-year-old man presented with sudden onset of right eye ptosis, diplopia and giddiness. He had no previous medical
illnesses with negative history of exertional dyspnoea, epistaxis, haemoptysis, palpitations, chest pain and chronic cough.
Examination revealed central cyanosis, digital clubbing, polycythaemia, partial ptosis of right eye, diplopia on right gaze and
dilated right pupil. Examination of the chest revealed pectus excavatum but no cardiac murmurs were heard. Investigations
revealed a solitary right pulmonary arteriovenous malformation with two feeder vessels which were successfully embolized
surgically.
- Full text:W020151007407905116719.pdf