ABSTRACT
Tortuous arteries are common clinical observation. Although mild tortuosity is asymptomatic, severe tortuosity can lead to ischemic attack in several organs. With advances in imaging technology, an increasing number of tortuous vessels have been detected. The purpose of this report is to describe a case of acute cerebral infarction due to tortuous subclavian artery and to review the literature.
Subject(s)
Arteries , Cerebral Infarction , Subclavian ArteryABSTRACT
No abstract available.
Subject(s)
Cerebral Infarction , Stroke , Thrombocythemia, EssentialABSTRACT
Gradual decline in cognitive function and behavioral changes are characteristic in degenerative dementia. Although acute to subacute subcortical lesion can affect behavior and cognition, few reports have described both cognitive and behavioral deficits in patients with right basal ganglia lesion. An 82-year-old man presented with memory impairment, pathological crying, delusion and other psychological symptoms that developed insidiously over the previous 2 months. Initially, the patient had been diagnosed with degenerative dementia, but brain MRI showed the hematoma in the right basal ganglia. Our case shows that cognitive dysfunction, behavioral and psychological symptoms including pathological laughing and delusion can be developed concurrently by the lesion of the right basal ganglia. Our case suggests that cerebrovascular disease should be considered in elderly patients presenting with subacute cognitive and behavioral deterioration, even when there were no other neurological signs.
Subject(s)
Aged , Aged, 80 and over , Humans , Basal Ganglia , Brain , Cognition , Crying , Delusions , Dementia , Hematoma , Hemorrhage , MemoryABSTRACT
Schizophrenia-like psychiatric symptoms in patients with MELAS are rarely reported. A 34-year-old male was admitted because of visual hallucinations, persecutory delusions and generalized seizure. He also presented with repeated headache, vomiting, and left homonymous hemianopsia. We report a 34-year-male with MELAS presenting psychiatric symptoms before the establishment of the diagnosis by gene analysis.
Subject(s)
Adult , Humans , Male , Delusions , Diagnosis , Hallucinations , Headache , Hemianopsia , MELAS Syndrome , Schizophrenia , Seizures , VomitingABSTRACT
A 34-year old man presented with syncope, a transient right lower extremity weakness and positional blindness of the left eye. Upon admission, the patients pulse and blood pressure was checked asymmetrically on both sides. A CT and MRI revealed no active lesions. A few days later, the patient was administered a diagnostic coronary-aortic angiogram to evaluate his cardiovascular system. A severe aortic dissection was revealed on the angiogram and an emergency operation for the dissection was done.We report a case of painless aortic dissection as a manifestation of TIA. (J Korean Neurol Assoc 19(5):526~528, 2001)