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Mohamed 1 , Hussien Osama 1 , Muataz Kashbour 2 , Ahmed Amin 3 1 Faculty of medicine, Mansoura University, Mansoura, Egypt, Mansoura, Egypt, 2 Diagnostic Radiology Department, National Cancer Institute, Misrata, Libya, Misrata, Libya, 3 Faculty of Medicine, Al-Azhar University, Cairo, Egypt, Cairo, Egypt Background and Aims: Cerebral edema is a serious complication of ischemic and hemorrhagic strokes, contributing to increased mortality and poor clinical outcomes

After the second day the normal attending physician took over

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There are three reasons why this diagnosis is missed: Although its not an expensive test, B12 isnt measured during routine blood tests