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To the Editor:
I would like to comment on the recent published NeuroImage by Altieri et al.1 The authors describe the case of a 60-year-old man who awoke with weakness of the left hand associated with a small infarct in the territory of the right premotor cortex indicating recent vascular ischemia.
The patient had a full recovery and no vascular risk factors were recognized. Because blood pressure (BP) monitoring showed arterial hypotension that was more noticeable during sleep, the authors concluded that “hypotension may have caused or contributed to the small infarct.” Other clinical information was not provided.
The authors of this NeuroImage did not consider that cerebral blood flow (CBF) is controlled …
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