A case of cerebral hyperperfusion following spontaneous recanalization of occluded middle cerebral artery

Xu, Ziqi; Zhou, Jue-Yu; Liu, Hui; Luo, Benyan; Liu, Ping

doi:10.1097/md.0000000000006740

Cited by 4 publications

(1 citation statement)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The spontaneous recanalisation of the MCA, presumed by the absence of stenosis and occlusions at the ultrasonography may have resulted in cerebral hyperperfusion and subsequent bleeding. Since amyloidosis itself relates to increased risk of haemorrhage, additional data are necessary to evaluate the application and safety of the reperfusion procedures in amyloidosis patients with ischaemic stroke 11 12…”

Section: Discussionmentioning

confidence: 99%

Ischaemic stroke as the initial manifestation of systemic amyloidosis

Marques¹,

Beato-Coelho

Durães

et al. 2019

BMJ Case Rep

View full text Add to dashboard Cite

A previously healthy 54-year-old woman was admitted to the stroke unit with an acute ischaemic stroke attributed to atrial fibrillation newly diagnosed at the emergency room. Nevertheless, preliminary investigation on stroke aetiology revealed incidental hypoalbuminaemia in the context of nephrotic syndrome, while clinically, the patient developed progressive signs of cardiac failure raising the suspicion of an underlying disorder. Systemic amyloidosis was histologically confirmed a few weeks after hospital admission. The rare presentation and non-specific symptom constellation contributed to delayed institution of the appropriated treatment regimen at a point where multiorganic involvement was irreversible leading to death only 2 months after the first manifestation. The presented case reminds us of the importance of always keeping in mind this rarer cause of ischaemic stroke since an early diagnosis remains the key to a more hopeful prognosis.

show abstract

Section: Discussionmentioning

confidence: 99%