51. Can cerebral microbleeds cause an acute stroke syndrome?
- Author
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Catherine Fischer, Giridhar P. Kalamangalam, Jacques Luauté, James Teo, and Nitin K. Sethi
- Subjects
Pediatrics ,medicine.medical_specialty ,Weakness ,medicine.diagnostic_test ,business.industry ,Traumatic Coma ,Global aphasia ,Electroencephalography ,medicine.disease ,Somatosensory system ,The Nerve! Readers Speak ,Migraine ,Neuroimaging ,medicine ,Neurology (clinical) ,medicine.symptom ,business ,Acute stroke - Abstract
{#article-title-2} I read with interest the report of Teo et al.1 on acute vascular syndromes attributed to cerebral microbleeds (CMBs). Assessing neurologic presentations in these patients can be challenging; we recently encountered a patient who illustrated the diversity of presentation of this condition. A 53-year-old man with previous whole brain irradiation for metastatic cancer reported repeated episodes of slowly progressive (over 5–60 minutes) unilateral weakness, proceeding to right or left hemiplegia lasting several hours. There was a visual disturbance at symptom onset and a unilateral headache at some stage. Neurologic examination and routine EEG were normal; brain MRI demonstrated multiple widespread punctuate CMBs (figure). Complex secondary migraine was diagnosed and prophylactic treatment suggested. Months later the patient presented to his local hospital with a further such episode progressing to complete flaccid right hemiplegia and global aphasia. Neuroimaging showed no new changes. He was transferred to our center after a week of failing to improve. Though … Correspondence to: jthteo{at}gmail.com Correspondence to: sethinitinmd{at}hotmail.com Correspondence to: jacques.luaute{at}chu-lyon.fr
- Published
- 2012