recrudescence; recrudescence of prior stroke symptoms

Introduction

Reactivation of a morbid process or symptoms after a period of remission.

Etiology

• neurologic deficits as a result of stroke or multiple sclerosis
• triggers include: infection, hypotension, hyponatremia, hypoglycemia, insomnia, stress, & benzodiazepine use

Pathology

• occurs most commonly with middle cerebral-artery infarcts

Clinical manifestations

• language, sensory, & motor deficits
• gaze preference, hemianopsia, & neglect not common
• similar to but less severe than initial presentation, improving with resolution of trigger(s)

Management

• supportive care