Cerebral embolism in Duchenne muscular dystrophy after respiratory tract infection — Report of two cases
| Autor: | Toshio Saito, Yuhei Hasuike, Harutoshi Fujimura, Tomoko Saito, Tsuyoshi Matsumura, Saburo Sakoda |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Male Risk medicine.medical_specialty Heart Diseases Heart Ventricles 03 medical and health sciences 0302 clinical medicine Embolus Internal medicine medicine Humans cardiovascular diseases 030212 general & internal medicine Thrombus Respiratory Tract Infections Stroke Aspirin Respiratory tract infections Heparin Cerebral infarction business.industry Anticoagulants Brain Thrombosis medicine.disease Muscular Dystrophy Duchenne Diffusion Magnetic Resonance Imaging Treatment Outcome Upper respiratory tract infection Hemiparesis Intracranial Embolism Embolism Echocardiography cardiovascular system Cardiology Warfarin Neurology (clinical) medicine.symptom Tomography X-Ray Computed business Magnetic Resonance Angiography 030217 neurology & neurosurgery |
| Zdroj: | Rinsho Shinkeigaku. 58:642-645 |
| ISSN: | 1882-0654 0009-918X |
| DOI: | 10.5692/clinicalneurol.cn-001135 |
| Popis: | We report cerebral embolism in 2 patients with Duchenne muscular dystrophy (DMD) after respiratory tract infection. A 31-year-old man (Case 1) was admitted to the hospital because of an upper respiratory tract infection, then suddenly developed left-sided hemiparesis. Transthoracic echocardiography revealed an intracardiac thrombus in the left ventricle, and, under assumption of cardioembolic stroke, oral anticoagulation was initiated. Case 2 was a 36-year-old man who developed dysphasia after increasing sputum. Based on brain CT scan findings, we confirmed a diagnosis of cerebral infarction. There was no recurrence in either case. Both cases developed cerebral infarction due to embolism after mild upper respiratory tract infections. DMD patients have various risk factors for thrombus and embolus, while physicians should also be aware of possible cerebral infarction and other coagulation disorders irrespective of respiratory and cardiac therapy. |
| Databáze: | OpenAIRE |
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