Rinsho shinkeigaku = Clinical neurology · 2018
[Cerebral embolism in Duchenne muscular dystrophy after respiratory tract infection - Report of two cases].
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Hasuike Yuhei, Saito Toshio, Saito Tomoko, Matsumura Tsuyoshi, Fujimura Harutoshi, Sakoda Saburo
Аннотация
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.
Предметные рубрики MeSH
AdultAnticoagulantsAspirinBrainDiffusion Magnetic Resonance ImagingEchocardiographyHeart DiseasesHeart VentriclesHeparinHumansIntracranial EmbolismMagnetic Resonance AngiographyMaleMuscular Dystrophy, DuchenneRespiratory Tract InfectionsRiskThrombosisTomography, X-Ray ComputedTreatment OutcomeWarfarin