MULTIFOCAL ISCHEMIC STROKE WITH ACALCULIA, MODERATE DEMENTIA, AND ABSENCE OF EXPECTED SYMPTOMS

A significant number of individuals worldwide are affected by multifocal ischemic stroke each year. Surprisingly, a considerable portion of these cases show minimal neurological impairments. The cognitive symptom known as acalculia, characterized by the inability to perform basic mathematical tasks. Absence of limb power combined with cognitive problems such as acalculia may indicate that the stroke has specifically impacted regions of the brain that play a greater role in cognitive processing rather than motor abilities. This case report details the medical presentation of a previously healthy and athletic 73-year-old male with a history of alcohol consumption and smoking, presenting with atrial fibrillation and acute ischemic cerebrovascular accident with moderate to mild dementia. Radiological presentation characterized by unusual multifocal cerebral involvement, contrasted with surprisingly minimal neurological deficits.