ABSTRACT
No abstract available.
Subject(s)
Magnetic Resonance Imaging , Subacute Combined DegenerationABSTRACT
Pregnancy related stroke is rare and poorly understood. A 28-year-old pregnant woman at 20 weeks of gestation presented with sudden headache and left homonymous hemianopsia. MRI revealed acute right posterior cerebral artery territory infarction. Laboratory data revealed combined protein C and S deficiencies. Coagulation profiles returned to normal 6 months after the delivery. Although stroke can occur either with protein C or S deficiency, acute cerebral infarction associated with combined protein C and S deficiencies during gestation is very rare.
Subject(s)
Adult , Female , Humans , Pregnancy , Cerebral Infarction , Headache , Hemianopsia , Infarction , Magnetic Resonance Imaging , Posterior Cerebral Artery , Pregnant Women , Protein C , Protein S , StrokeABSTRACT
Cerebral venous thrombosis (CVT) is quite rare and underlying risk factors are diverse. We describe that 60-year-old man developed CVT after use of cyclosporine. He had suffered from leukocytoclastic vasculitis and urticarial vasculitis. Initial MR venogram revealed thrombosis in superior sagittal sinus, right transverse sinus and sigmoid sinus with multiple cortical and deep collateral veins. Anticoagulation was started and maintained for one year, then follow up MR venogram was normal. We suggest that cyclosporine might increase a risk of CVT.
Subject(s)
Colon, Sigmoid , Cyclosporine , Follow-Up Studies , Risk Factors , Superior Sagittal Sinus , Thrombosis , Vasculitis , Vasculitis, Leukocytoclastic, Cutaneous , Veins , Venous ThrombosisABSTRACT
Mitochondrial encephalopathy, lactic acidosis, and stroke-like episodes (MELAS) is one of the mitochondrial disorders that can present as a stroke-like episode or seizure. Although the pathophysiology of MELAS remains inconclusive, the main possibilities are thus far thought to be mitochondrial cytopathy and angiopathy. This case report describes a 61-year-old woman diagnosed with MELAS who presented simultaneously with vascular hyperemia and crossed cerebellar diaschisis.
Subject(s)
Female , Humans , Acidosis, Lactic , Hyperemia , Kearns-Sayre Syndrome , Mitochondrial Diseases , Mitochondrial Encephalomyopathies , Mitochondrial Myopathies , SeizuresABSTRACT
Mitochondrial encephalopathy, lactic acidosis, and stroke-like episodes (MELAS) is one of the mitochondrial disorders that can present as a stroke-like episode or seizure. Although the pathophysiology of MELAS remains inconclusive, the main possibilities are thus far thought to be mitochondrial cytopathy and angiopathy. This case report describes a 61-year-old woman diagnosed with MELAS who presented simultaneously with vascular hyperemia and crossed cerebellar diaschisis.