Stroke in an Otherwise Healthy Teenager

In this report, researchers present a 19-year-old woman admitted with left-sided weakness, left-sided facial droop, and right gaze preference. The patient had no risk factors for stroke, but a noncontrast head CT scan presented signs of an acute infarction within the right MCA. A bedside goal-directed echocardiogram revealed a large echogenic mass attached to the aortic valve. The patient was diagnosed with endocarditis.

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