Assuntos
Síndrome Antifosfolipídica/diagnóstico , Isquemia Encefálica/diagnóstico , Hanseníase/diagnóstico , Acidente Vascular Cerebral/diagnóstico , Adulto , Síndrome Antifosfolipídica/complicações , Síndrome Antifosfolipídica/patologia , Isquemia Encefálica/complicações , Isquemia Encefálica/patologia , Humanos , Hanseníase/complicações , Hanseníase/imunologia , Hanseníase/patologia , Masculino , Acidente Vascular Cerebral/complicações , Acidente Vascular Cerebral/patologiaRESUMO
A middle-aged woman was referred to our hospital emergency ward in view of acute onset left faciobrachial weakness. An urgent MRI of the brain was performed, which did not reveal any abnormality and hence a neurology consultation was arranged in order to rule out acute stroke. However, examination and retrospective history taking proved to be a valuable aid in this patient's diagnosis. The incomplete lower motor neuron facial nerve palsy and hand weakness due to leprosy in reaction was confused by the general practitioner as a faciobrachial stroke.
Assuntos
Paralisia Facial/diagnóstico , Paralisia Facial/etiologia , Hanseníase/complicações , Acidente Vascular Cerebral/diagnóstico , Neuropatias Ulnares/diagnóstico , Neuropatias Ulnares/etiologia , Anti-Inflamatórios/uso terapêutico , Diagnóstico Diferencial , Nervo Facial , Paralisia Facial/tratamento farmacológico , Feminino , Humanos , Hansenostáticos/uso terapêutico , Hanseníase/tratamento farmacológico , Pessoa de Meia-Idade , Prednisolona/uso terapêutico , Resultado do Tratamento , Neuropatias Ulnares/tratamento farmacológicoAssuntos
Humanos , Acidente Vascular Cerebral/diagnóstico , Acidente Vascular Cerebral/fisiopatologia , Acidente Vascular Cerebral/terapia , Protocolos Clínicos/normas , Acidente Vascular Cerebral/complicações , Acidente Vascular Cerebral/mortalidade , Reabilitação do Acidente Vascular Cerebral/métodosRESUMO
A 65-year-old male presented with right hemiparesis and skin lesions. On examination, the patient had multiple, discrete, skin-colored papules on the neck and upper chest with wrinkling of the skin. The lateral part of the trunk and medial aspect of both upper arms showed atrophic plaques. A computerized tomography scan of the head showed dilatation of the basilar artery with a frontoparietal infarct. Funduscopic examination showed characteristic angioid streaks. Skin biopsy of the papule and atrophic plaques showed epidermal atrophy, calcium deposits in the mid-dermis and basophilic clumped and fragmented elastic fibers in the mid- and lower dermis, all findings consistent with pseudoxanthoma elasticum. We are reporting here a case of pseudoxanthoma elasticum with cerebrovascular accident.