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*Nonembolic hemiplegia:* This group is composed of adult patients aged between 18 and 40 years who present with hemiplegia lasting longer than 3 days. Typical features include ataxia, dysarthria, nystagmus, and sensorimotor deficits. Risk factors include hypertension, familial history of parkinsonism, and brain arteriovenous malformations.
*Embolic stroke:* This group contains those patients who have associated thunderclap headache, seizures, or altered mental status. Emboli are usually observed in proximal middle cerebral and internal carotid arterial branches. Intracranial embolism is usually seen in patients with a prior history of cardiogenic thromboembolism, cerebral venous sinus thrombosis, and cerebral arterial aneurysms.
In a study by Kreuter et al. \[[@CR2]\], patients with ischemic stroke caused by large arterial thromboembolism or intracranial large artery occlusion were analyzed. Their findings were as follows: younger age, higher serum D-dimer concentrations, and fewer risk factors were associated with intracranial large artery occlusion. This suggests that a high level of suspicion and the importance of being aware of the diagnosis and treatments of TCE.
Conclusion {#Sec10}
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TCE can be a diagnosis to consider in patients who present with transient focal neurologic deficits with a history of syncopal episodes. The symptoms are typically associated with rapid resolution, and when associated with prolonged infarction, a diagnosis of stroke may be considered. Further imaging studies may be indicated in some cases. There are different classification systems for TCE, and the following systems are the best known and most common: Janz’s, Vos’s, and Neufeld’s systems.
This article is part of the Topical Collection on *Syncope*, TLEP
Conflict of Interest {#FPar1}
====================
All authors declare that they have no conflict of interest.
Human and Animal Rights and Informed Consent {#FPar2}
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This article does not contain any studies with human or animal subjects performed by any of the authors.
LONDON (Reuters) – The European Commission recommended on Thursday that Germany and France adopt nuclear power to improve energy security
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