Case Of Cerebral Embolism Research Articles

A case of cerebral embolism caused by takotsubo cardiomyopathy induced by bronchial asthma attack treatment

A case of cerebral embolism caused by takotsubo cardiomyopathy induced by bronchial asthma attack treatment

A case of cerebral embolism due to papillary fibroelastoma in the coumadin ridge

A case of cerebral embolism due to papillary fibroelastoma in the coumadin ridge

A case of cerebral embolism caused by atrial fibrillation combined with superior mesenteric artery embolism and hepatic portal vein gas in a short time

非瓣膜性心房颤动（房颤）所致的脑栓塞是缺血性卒中最为常见的类型之一，且短期内栓塞复发风险较高，病情容易进展，尤其是抗凝药物应用不当时。复发性栓塞多以脑栓塞为主，肠系膜上动脉栓塞（superior mesenteric artery embolism， SMAE）少见。SMAE是严重的急腹症，病情凶险，当其进展为严重的缺血坏死性肠病并发罕见的肝门静脉积气（hepatic portal vein gas， HPVG）时往往预后极差，病死率很高。以往SMAE的影像诊断主要依靠腹部增强CT显示肠系膜上动脉充盈缺损来诊断，但对于碘对比剂禁忌者，非对比增强CT上出现的肠系膜上动脉内的“动脉致密征”也是一个有重要价值的诊断征象，以往罕见报道。现本文结合文献，报道1例经非对比剂增强腹部CT确诊的非瓣膜性房颤性卒中患者短期内并发急性SMAE并继发HPVG的罕见致死性案例。.

左上葉切除後の左上肺静脈断端部血栓による脳塞栓症の1 例

左上葉切除後の左上肺静脈断端部血栓による脳塞栓症の1 例

GW24-e2481 The clinical research for safety and availability of low-intensity anticoagulation with warfarin therapy in AF patients with high risk of hemorrhage

ObjectivesTo observe the safety and availability of anticoagulation of low-intensity warfarin anticoagulant therapy in AF patients with high stroke risk and high risk of bleeding applying CHA2DS2VASc stroke risk score...

Two Cases of Cerebral Embolism Caused by Apical Thrombi in Midventricular Obstructive Cardiomyopathy

Midventricular obstructive hypertrophic cardiomyopathy (MOHC) is a rare form of cardiomyopathy that was demonstrated to have caused embolic stroke in two patients. In both cases, the embolic sources of stroke were thrombi in an apical aneurysm caused by turbulent stasis of blood flow and subsequent injury of myocardial endocardium. Even without atrial fibrillation, apical aneurysm can induce emboligenic stroke in MOHC.

A Case of Cerebral Embolism With Metastatic Chondrosarcoma in the Left Atrium

Cardiac tumor is a rare, but clinically important source of cerebral embolism. We report a case of metastatic chondrosarcoma in the left atrium with multiple cerebral emboli. A computed tomography scan of the chest revealed a large mass in the left atrium and pulmonary vein. The patient underwent heart surgery to remove the metastatic chondrosarcoma in the left atrium, to prevent the formation of further systemic emboli and possible sudden death. The cardiac tumor resection was successful, and the patient was discharged from the hospital without any handicap. This is a rare case of metastatic cardiac tumor that was a source of emboli into the brain and was eradicated.

Vascular risk factors for atherosclerotic lesions of the middle cerebral artery detected by magnetic resonance angiography (MRA).

To examine the relationship between atherosclerotic lesions of the middle cerebral artery (MCA) detected on MRA and vascular risk factors. We retrospectively assessed 279 patients (mean age, 69.0+/-11.3 years) who visited the Department of Neurology of Masuda Red Cross Hospital and underwent three-dimensional, time-of-flight MRA of the head between January 1996 and October 1998. Cases of cerebral embolism and internal carotid artery occlusion were excluded. Diagnoses were cerebral infarction (n = 152) and others (n = 127). We evaluated stenotic or occlusive lesions of the MCA (M1 portion), using MRA. Age, sex, history of hypertension, HbA1c, total cholesterol, fasting triglyceride, high density lipoprotein, lipoprotein(a), blood pressure, hematocrit, smoking and left ventricular hypertrophy (LVH) on ECG were included in the analysis. 36 patients (12.9%) had stenotic or occlusive lesions of the MCA on MRA. Univariate analysis showed that age, hypertension and HbA1c were significantly correlated with MCA lesions. Multiple logistic regression analysis showed that HbA C and hypertension were significant and independent predictors for MCA lesions. Hypertension and high serum HbAlc levels may contribute to the development of atherosclerotic lesions of the MCA in Japanese people.

Abstracts of literature

Abstracts of literature

Migraine With Vasospasm and Delayed Intracerebral Hemorrhage

To the Editor. —Cole and Aube 1 suggested that, in severe migraine attacks, vasospasm may result in ischemic necrosis of intracranial vessel walls, leading to a subsequent vessel rupture responsible for delayed lobar intracerebral hemorrhage, when perfusion pressure is restored. They stated that, except migraine, sub-arachnoid hemorrhage, cerebral trauma, central nervous system infection, drug abuse, toxemia, fibromuscular dysplasia, carotid artery dissection, and cerebral vasculitis have all been associated with the radiographic appearance of spasm of the cerebral arteries. Another possible cause for vasospasm is cerebral embolism. We recently described rupture of the arterial wall in two cases of cerebral embolism. 2 One patient suffered a frontal hematoma. As proposed by Villaret et al, 3 arterial spasm may have occurred at the time of cerebral embolism. The morphological expressions specific to cerebral vasospasm are unknown. Cole and Aube 1 suggested rupture of the arterial wall, secondary to ischemic necrosis. We 2

基底核部に著明なcapillary blushを認めた脳塞栓症の1例

脳塞栓症で右中大脳動脈 (MCA) 穿通枝領域に著明なcapillary blushを認めた1例を報告する.症例は心房細動を有する57歳男性で, 左不全片麻痺を主訴として入院した.CTにて右基底核部を中心に比較的大きな低吸収域を認め, 臨床的に心由来の脳塞栓症が考えられた.発症12時間後に施行した脳血管撮影では, MCA分枝閉塞とその後方部分への皮質枝吻合を介する側副血行を認め, また動脈相で基底核部に著明なcapillary blushと視床線条体静脈・Rosenthal静脈の早期出現を認めた.後者の所見は第8病日でもみられたが, 臨床症状はこの時までに徐々に改善した.第33病日の血管撮影, CT所見ではほとんど異常を認めなかった.以上からMCA水平部の再開通が早期に起こったため, 穿通枝領域の虚血が軽かったことを示し, capillary blushの出現は, この領域で壊死や強い浮腫を生ずることなく, 血管系が一時的な機能障害に陥ったと考えられる所見であった.

Three Cases of Cerebral Embolism After Pulmonary Resection

Three Cases of Cerebral Embolism After Pulmonary Resection

Two Cases of Cerebral Embolism, Marked by their Rapid Course and Febrile Symptoms

Two Cases of Cerebral Embolism, Marked by their Rapid Course and Febrile Symptoms