Abstract
BackgroundBilateral ischemic infarction involving the corpus striatum is a rare event which usually results from global cerebral hypoxia, intoxications, and drug abuse.Case presentationWe report a 28 year old Caucasian woman who presented with progressive obtundation and later development of severe expressive dysphasia and Parkinsonism after sustaining ischemic stroke of both corpora striata. Hemorrhagic transformation developed on day four of admission.ConclusionThis is a rare case of bilateral basal ganglia infarction with hemorrhagic transformation in a young patient. Our patient's work up did not reveal any cause behind this stroke; however, advanced investigations (such as genetic testing and conventional angiography) were not done. The damage resulted in motor dysphasia and Parkinsonism. Neither dystonia nor other involuntary movements developed, and cognitive function was not assessed because of the language disorder.
Highlights
Bilateral ischemic infarction involving the corpus striatum is a rare event which usually results from global cerebral hypoxia, intoxications, and drug abuse
The middle cerebral artery gives off direct small perforators to the striatum, but these blood vessels contribute very little to the overall blood supply [3]
We reviewed the brain magnetic resonance imaging (MRI) and magnetic resonance venography (MRV) with two radiologists; they disagreed with cerebral venous sinus thrombosis as an etiology
Summary
This is a rare case of bilateral basal ganglia infarction with hemorrhagic transformation in a patient. Consent Written informed consent was obtained from the patient for publication of this case report and any accompanying images. Author details 1Department of Neurology, Sulaimaniya General Teaching Hospital, Sulaimaniya City, Iraq. Authors’ contributions Clinical work up was made by OSMA and SSS. SSS took the photos of the brain imaging. HMZ and NAA undertook patient follow up. OSMA wrote the manuscript; all authors read and approved the final manuscript. Authors’ information OSMA is a board certified neurologist and a Fellow of the American College of Physicians. SSS is a registrar in clinical adult neurology. NAA is an intern at the department of internal medicine and neurology. Competing interests The authors declare that they have no competing interests
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