| Spontaneous upper limb monoplegia secondary to probable cerebral amyloid angiopathy. | |
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MedLine Citation:
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PMID: 22214197 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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ABSTRACT: Cerebral amyloid angiopathy is a clinicopathological disorder characterised by vascular amyloid deposition initially in leptomeningeal and neocortical vessels and later affecting cortical and subcortical regions. The presence of amyloid within the walls of these vessels leads to a propensity for primary intracerebral haemorrhage. We report the unusual case of a 77-year-old female who presented to our emergency department with sudden onset isolated hypoaesthesia and right upper limb monoplegia. A CT scan demonstrated a peripheral acute haematoma involving the left perirolandic cortices. Subsequent magnetic resonance imaging demonstrated previous superficial haemorrhagic events. One week following discharge the patient re-attended with multiple short-lived episodes of aphasia and jerking of the right upper limb. Further imaging demonstrated oedematous changes around the previous haemorrhagic insult. Cerebral amyloid angiopathy is an overlooked cause of intracerebral haemorrhage; the isolated nature of the neurological deficit in this case illustrates the many guises in which it can present. |
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Authors:
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Ahmed-Ramadan Sadek; Nandita K Parmar; Norah-Hager Sadek; Sanjana Jaiganesh; Samer Elkhodair; Thiagarajan Jaiganesh |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2012-1-3 |
Journal Detail:
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Title: International journal of emergency medicine Volume: 5 ISSN: 1865-1380 ISO Abbreviation: - Publication Date: 2012 Jan |
Date Detail:
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Created Date: 2012-1-4 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101469435 Medline TA: Int J Emerg Med Country: - |
Other Details:
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Languages: ENG Pagination: 1 Citation Subset: - |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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