| Transient changes on brain magnetic resonance imaging in a patient with sturge-weber syndrome presenting with hemiparesis. | |
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MedLine Citation:
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PMID: 19901718 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Stroke-like episodes associated with Sturge-Weber Syndrome have previously been attributed to thrombosis within the leptomeningeal malformation causing infarction. CASE REPORT: A 22-year-old woman with a right-sided port-wine nevus presented with acute left hemiparesis. Brain magnetic resonance imaging (MRI) demonstrated a vascular malformation of the right cerebral hemisphere consistent with Sturge-Weber Syndrome. There was mild edema of the right hemisphere cortex. While in hospital she developed recurrent complex partial seizures. Repeat brain MRI showed a diffusion abnormality affecting the right hemisphere with an increase in the degree of edema. There was no evidence of thrombosis on cerebral angiography. The patient's neurologic deficit and acute MRI changes subsequently resolved. CONCLUSIONS: Although cerebral angiography could potentially demonstrate thrombosis causing large vessel obstruction, it is unlikely to have the resolution to detect stasis at a microvascular level. Microcirculatory stasis with reversible ischemia is the likely pathogenic mechanism in this case. |
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Authors:
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Kishore R Kumar; Kenneth Hon; David Schultz; Mark J Agzarian; David Neil Jones; Dominic Thyagarajan |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: The neurologist Volume: 15 ISSN: 1074-7931 ISO Abbreviation: Neurologist Publication Date: 2009 Nov |
Date Detail:
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Created Date: 2009-11-10 Completed Date: 2010-01-26 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9503763 Medline TA: Neurologist Country: United States |
Other Details:
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Languages: eng Pagination: 351-4 Citation Subset: IM |
Affiliation:
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Royal Adelaide Hospital, Adelaide, South Australia, Australia. kkumaradel@hotmail.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Brain
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pathology*,
radionuclide imaging Female Humans Magnetic Resonance Angiography / methods Magnetic Resonance Imaging / methods* Paresis / complications*, pathology*, radionuclide imaging Positron-Emission Tomography / methods Sturge-Weber Syndrome / complications*, pathology*, radionuclide imaging Young Adult |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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