TITLE

Reversible encephalopathy associated with cholesterol embolism syndrome: magnetic resonance imaging and pathological findings

AUTHOR(S)
Andreux, F.; Marro, B.; El Khoury, N.; Seilhean, D.; Alamowitch, S.
PUB. DATE
February 2007
SOURCE
Journal of Neurology, Neurosurgery & Psychiatry;Feb2007, Vol. 78 Issue 2, p180
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
We describe a patient found to have acute diffuse and reversible encephalopathy on magnetic resonance imaging (MRI) associated with cholesterol emboli syndrome (CES). The initial MRI showed extensive white matter, basal ganglia and cortical damage without evidence of brain infarction. Dramatic clinical and MRI improvement was observed with corticosteroids. Pathologically, cholesterol crystal emboli were found in the lumen of skin and brain arteries and were associated with varying degrees of inflammation of the arteriole wall. This case suggests that CES may be responsible for extensive, acute and reversible encephalopathy underlined by an inflammation of brain arteries.
ACCESSION #
24101400

 

Related Articles

  • Acute Disseminated Encephalomyelitis Following Infectious Mononucleosis. Bahadori, Hamid R.; Williams, Virginia C.; Turner, Robert P.; Rumboldt, Zoran; Reigart, J. Routt; Fowler, Sandra L.; Chavis, Pamela S.; Maria, Bernard L. // Journal of Child Neurology;Mar2007, Vol. 22 Issue 3, p324 

    Two months following an Epstein-Barr virus infection, a 17-year-old white female presented with seizures, intermit- tent visual changes, and altered mental status. Magnetic resonance imaging showed white matter changes of acute disseminated encephalomyelitis with a predilection for posterior...

  • Influence of corticosteroid treatment on MRI findings in giant cell arteritis. Bley, T. A.; Ness, T.; Warnatz, K.; Frydrychowicz, A.; Uhl, M.; Hennig, J.; Langer, M.; Markl, M. // Clinical Rheumatology;Sep2007, Vol. 26 Issue 9, p1541 

    Giant cell arteritis (GCA) remains a diagnostic challenge. With the use of a high-resolution MRI protocol, visualization of the superficial cranial arteries is feasible and mural inflammation can be assessed noninvasively. Until today, it is not known how soon inflammatory signals in diagnostic...

  • Cholesterol Embolization Treated with Corticosteroids Two Case Reports. Koga, Jun-ichiro; Ohno, Masahiko; Okamoto, Kazuhiko; Nakasuga, Kazuta; Ito, Hiroyuki; Nagafuji, Koji; Shimono, Nobuyuki; Koga, Hideyuki; Hayashida, Akihiro; Arita, Takeshi; Maruyama, Toru; Kaji, Yoshikazu; Harada, Mine // Angiology;Jul/Aug2005, Vol. 56 Issue 4, p497 

    Cholesterol embolization CCE) is a potentially serious complication associated with invasive arterial maneuvers, in which standard therapy has not been established. We experienced two cases of CE In patients with severe atherosclerosis whose renal function deteriorated within a few months after...

  • Aggressive Immuntherapie beim Susac-Syndrom. Klein, M.; Illies, T.; Georgi, S.; Rosenkranz, T.; Terborg, C. // Nervenarzt;Dec2009, Vol. 80 Issue 12, p1502 

    Susac's syndrome is a rare but important differential diagnosis of aseptic encephalitis of young women with focal neurological deficits and white matter lesions on cerebral MRI. We report on a previously healthy 36-year-old woman who presented with encephalopathy, central weakness of her right...

  • Piriformis syndrome: a simple technique for US-guided infiltration of the perisciatic nerve. Preliminary results. Reus, Manuel; de Dios Berná, Juan; Vázquez, Victoria; Victoria Redondo, Ma; Alonso, José // European Radiology;Mar2008, Vol. 18 Issue 3, p616 

    The piriformis syndrome is an uncommon cause of sciatica, buttock or thigh pain. Because of the deep location of the muscle and sciatic nerve, infiltration has traditionally been guided by electromyography, fluoroscopy, computed tomography or magnetic resonance imaging. The aim of the present...

  • Cushing's Syndrome During Pregnancy Secondary to Adrenal Adenoma. Borna, Sedighe; Akbari, Soheila; Eftekhar, Tahere; Mostaan, Fateme // Acta Medica Iranica;2012, Vol. 50 Issue 1, p76 

    Pregnancy rarely occurs in untreated cases of Cushing's syndrome (CS), because most of them are infertile due to significant maternal and fetal complications during pregnancy. Diagnosis of CS may be difficult during pregnancy. Since physiological changes of pregnancy are overlapped by classical...

  • Diagnosis of Iliotibial Band Friction Syndrome and Ultrasound Guided Steroid Injection. Ji Hee Hong; Ji Sub Kim // Korean Journal of Pain;Oct2013, Vol. 26 Issue 4, p387 

    A 64-year-old woman visited our pain clinic with the pain of right lateral side of thigh for one year. Her pain always started from knee and was radiated to buttock area when symptom was severe. She showed significant tenderness at knee lateral side and local tightness at lateral thigh. Magnetic...

  • Reversible stenosis of large cerebral arteries in a patient with combined Sjögren’s syndrome and neuromyelitis optica spectrum disorder. Ii, Yuichiro; Shindo, Akihiro; Sasaki, Ryogen; Naito, Yutaka; Tanaka, Keiko; Kuzuhara, Shigeki // Rheumatology International;Oct2008, Vol. 28 Issue 12, p1277 

    We report a 49-year-old woman with neuromyelitis optica (NMO) spectrum disorder coexisting with Sjögren’s syndrome (SS). She presented with acute brainstem symptoms and transverse myelitis. Brain MRI showed focal high signal intensity lesions in the hypothalamus and the pontine...

  • Lymphocytic hypophysitis successfully treated with azathioprine: first case report. Lecube A; Francisco G; Rodr''guez D; Ortega A; Codina A; Hern''ndez C; Sim'' R // Journal of Neurology, Neurosurgery & Psychiatry;Nov2003, Vol. 74 Issue 11, p1581 

    An aggressive case of lymphocytic hypophysitis is described which was successfully treated with azathioprine after failure of corticosteroids. The patient, aged 53, had frontal headache, diplopia, and diabetes insipidus. Cranial magnetic resonance imaging (MRI) showed an intrasellar and...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sign out of this library

Other Topics