| Neurofibromatosis, stroke and basilar impression. Case report. | |
| | |
MedLine Citation:
|
PMID: 10450358 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Neurofibromatosis type 1 (NF1) can virtually affect any organ, presenting most frequently with "cafe au lait" spots and neurofibromas. Vasculopathy is a known complication of NF1, but cerebrovascular disease is rare. We report the case of a 51-year-old man admitted to the hospital with a history of stroke four months before admission. On physical examination, he presented various "cafe au lait" spots and cutaneous neurofibromas. Neurologic examination demonstrated right-sided facial paralysis, right-sided hemiplegia, and aphasia. Computed tomography scan of head showed hypodense areas in the basal ganglia and centrum semiovale. Radiographs of cranium and cervical spine showed basilar impression. Angiography revealed complete occlusion of both vertebral and left internal carotid arteries, and partial stenosis of the right internal carotid artery. A large network of collateral vessels was present (moyamoya syndrome). It is an uncommon case of occlusive cerebrovascular disease associated with NF1, since most cases described in the literature are in young people, and tend to spare the posterior cerebral circulation. Basilar impression associated with this case may be considered a pure coincidence, but rare cases of basilar impression and NF1 have been described. |
| | |
Authors:
|
E J Piovesan; R H Scola; L C Werneck; V H Zétola; E M Nóvak; F M Iwamoto; L M Piovesan |
Related Documents
:
|
16871298 - Cervical transforaminal injection: review of the literature, complications, and a sugge... 11894528 - Hemangioblastoma causing cervical neural foraminal widening. 9699398 - Well-differentiated papillary villoglandular adenocarcinoma of the uterine cervix: a ca... 16965338 - Correlation of p16 and prb expression with hpv detection in bowen's disease. 16680508 - Cholecysto-urachal fistula. 12533278 - Congenital transmission of trypanosoma cruzi infection in argentina. |
Publication Detail:
|
Type: Case Reports; Journal Article |
Journal Detail:
|
Title: Arquivos de neuro-psiquiatria Volume: 57 ISSN: 0004-282X ISO Abbreviation: Arq Neuropsiquiatr Publication Date: 1999 Jun |
Date Detail:
|
Created Date: 1999-10-12 Completed Date: 1999-10-12 Revised Date: 2009-11-11 |
Medline Journal Info:
|
Nlm Unique ID: 0125444 Medline TA: Arq Neuropsiquiatr Country: BRAZIL |
Other Details:
|
Languages: eng Pagination: 484-8 Citation Subset: IM |
Affiliation:
|
Internal Medicine Department, Hospital de Clinicas of Federal University of Parana, Brasil. piovesan@avalon.sul.com.br |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Cerebrovascular Disorders
/
diagnosis,
etiology* Humans Male Middle Aged Moyamoya Disease Neurofibromatosis 1 / complications*, diagnosis Platybasia / diagnosis, etiology* Syndrome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Surgical treatment of blepharospasm. Report of 2 patients
Next Document: Neuroacanthocytosis. A case report