Reversible encephalopathy associated with cholesterol embolism syndrome: magnetic resonance imaging and pathological findings.
J Neurol Neurosurg Psychiatry
; 78(2): 180-2, 2007 Feb.
Article
in En
| MEDLINE
| ID: mdl-17229746
ABSTRACT
We describe a patient found to have acute diffuse and reversible encephalopathy on magnetic resonance imaging (MRI) associated with cholesterol emboli syndrome (CES). The initial MRI showed extensive white matter, basal ganglia and cortical damage without evidence of brain infarction. Dramatic clinical and MRI improvement was observed with corticosteroids. Pathologically, cholesterol crystal emboli were found in the lumen of skin and brain arteries and were associated with varying degrees of inflammation of the arteriole wall. This case suggests that CES may be responsible for extensive, acute and reversible encephalopathy underlined by an inflammation of brain arteries.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Brain Diseases
/
Adrenal Cortex Hormones
/
Embolism, Cholesterol
Type of study:
Diagnostic_studies
/
Risk_factors_studies
Limits:
Humans
/
Male
/
Middle aged
Language:
En
Journal:
J Neurol Neurosurg Psychiatry
Year:
2007
Document type:
Article
Affiliation country: