| Postprandial recurrent hemiplegia. | |
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MedLine Citation:
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PMID: 20090450 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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INTRODUCTION: Postprandial hemodynamic disturbances have been previously described. We report a case of postprandial transient ischemic attacks. MATERIALS AND METHODS: Brain magnetic resonance imaging (MRI) (fluid-attenuated inversion recovery sequences, apparent diffusion coefficient), MR angiography, and Tc-99m hexamethylpropylene amine oxime single photon emission computed tomography-CT before and after acetazolamide challenge were performed in a patient with recurrent spells of hemiplegia following fatty meals. RESULTS: No recent infarction was observed on apparent diffusion coefficient maps. MR angiography showed occlusion of the left internal carotid artery and severe atherosclerosis of the cervical arteries. Tc-99m hexamethylpropylene amine oxime single photon emission computed tomography demonstrated hypoperfusion in the left middle cerebral artery territory at baseline and absence of cerebrovascular reactivity. DISCUSSION AND CONCLUSION: This case report supports the hypothesis of a modulation of the cerebral blood flow by fatty acids and highlights the potential impact of dietetic education in patients with impaired cerebrovascular reactivity. |
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Authors:
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Karim Farid; Pauline Renou; Marianne Laffite; Thierry Couffinhal; Mich?le Allard; Philippe Fernandez; Igor Sibon |
Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Clinical nuclear medicine Volume: 35 ISSN: 1536-0229 ISO Abbreviation: Clin Nucl Med Publication Date: 2010 Feb |
Date Detail:
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Created Date: 2010-01-21 Completed Date: 2010-03-12 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7611109 Medline TA: Clin Nucl Med Country: United States |
Other Details:
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Languages: eng Pagination: 80-2 Citation Subset: IM |
Affiliation:
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Department of Nuclear medicine, CHU de Bordeaux, Bordeaux, France. kwfarid@hotmail.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Hemiplegia
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complications,
diagnosis*,
physiopathology*,
radionuclide imaging Humans Ischemia / complications Magnetic Resonance Imaging Male Middle Aged Postprandial Period* Recurrence Tomography, Emission-Computed, Single-Photon |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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