[Delayed white matter lesion after mechanical thrombectomy for middle cerebral artery occlusion with Libman-Sacks endocarditis].
Rinsho Shinkeigaku
; 62(9): 716-721, 2022 Sep 28.
Article
in Ja
| MEDLINE
| ID: mdl-36031377
ABSTRACT
A 59-year-old woman presented with right hemiparesis and was transported from outside hospital. MRI revealed acute infarction and the left middle cerebral artery M2 occlusion. Intravenous infusion of recombinant tissue-type plasminogen activator, and mechanical thrombectomy (MT) were performed. The cause of cerebral infarction was diagnosed as Libman-Sacks endocarditis. She discharged without sequelae. After 10 months later, she presented with mild cognitive decline, and MRI showed new white matter lesion in left deep white matter. In magnetic resonance spectroscopy, the lesion showed an increased rate of choline/creatine, and a decreased rate of N-acetylaspartate/creatine, elevated lactate peak. When new higher brain dysfunction presented after recanalization by MT, it might be related to the delayed white matter lesion.
Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Endocarditis
/
White Matter
Type of study:
Etiology_studies
Limits:
Female
/
Humans
/
Middle aged
Language:
Ja
Journal:
Rinsho Shinkeigaku
Year:
2022
Document type:
Article