Author(s)

Reem AlSherooqi¹, Jad Alkhoury¹, Moiz Bakhiet^1,2*

¹Department of Internal Medicine, King Hamad University Hospital Princess Al-Jawhara Center for Genetics and Inherited Diseases, Arabian Gulf University, Manama, Bahrain.
²Department of Molecular Medicine, College of Medicine and Medical Sciences, Princess Al-Jawhara Center for Genetics and Inherited Diseases, Arabian Gulf University, Manama, Bahrain.

Stroke is a rapidly developing symptom or sign of loss of cerebral function secondary to interruption of the blood supply due to a thrombus or hemorrhage. These diseased vessels are usually affected by well-recognized risk factors, but in some cases other rare conditions may be related to stroke development. Herein, we introduce one of these rare stroke conditions in a 37-year-old previously healthy male who presented to the emergency department with misleading symptoms and signs of reduced level of consciousness, isolated medical 3^rd nerve palsy and possible drug overdose. A thorough neurological examination and investigation demonstrated a case of acute ischemic stroke as a consequence of meningeal irritation with an underlying inflammatory response. The patient was treated simultaneously for both conditions and responded dramatically with full recovery upon discharge. Thus, consideration of acute stroke in patients with no previous known risk factors is highly recommended especially with unusual neurological findings.

Meningitis, Weakness, Diplopia, Photophobia, EEG

AlSherooqi, R. , Alkhoury, J. and Bakhiet, M. (2018) A Case Report of Rare Acute Ischemic Stroke Due to Meningeal Irritation. World Journal of Neuroscience, 8, 171-177. doi: 10.4236/wjns.2018.82015.