Hand Monoparesis Due to Small Cortical Ischemic Stroke, Etiology, Prognosis and Medical Management: Case Report and Literature Review
Bibliographic record
Abstract
We present the case of a 70-year-old male who presented to Cedars Sinai Emergency room with sudden onset of right hand weakness. Only a few cases of hand weakness due to a small cortical stroke have been previously reported. Brain MRI showed acute small, ischemic infarction in the left right precentral gyrus and CTA showed 75% stenosis at the origin of the left internal carotid. After discussing possible risks and benefits, he received IV rTPA and underwent subsequent carotid endarterectomy a few days later. Our paper highlights the importance of considering small cortical strokes in patients with sudden onset of hand weakness since these patients may benefit from IV administration of rTPA and early intervention to treat embolic source and prevent future ischemic events. J Med Cases. 2013;4(6):429-432 doi: https://doi.org/10.4021/jmc1283w
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.001 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.005 | 0.004 |
| Science and technology studies | 0.001 | 0.001 |
| Scholarly communication | 0.002 | 0.002 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.002 | 0.001 |
| Insufficient payload (model declined to judge) | 0.002 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".