A Case of Cerebellar Infarction with Renal Artery Stenosis.
- Author:
Jun Beom LEE
1
;
Seong Bo YOON
;
Won Sik CHO
;
Ki Hoon BAEK
Author Information
1. Department of Neurology, Hong-Ik Hospital, Seoul, Korea. acupunct@hanmail.net
- Publication Type:Case Report
- Keywords:
Cerebral infarction;
Renal artery stenosis;
Renovascular hypertension;
Renin-angiontensin-aldosterone system;
Stents
- MeSH:
Angiography;
Angioplasty;
Cerebral Infarction;
Humans;
Hypertension;
Hypertension, Malignant;
Hypertension, Renovascular;
Infarction;
Pulmonary Edema;
Renal Artery;
Renal Artery Obstruction;
Renal Insufficiency;
Renin-Angiotensin System;
Stents;
Stroke
- From:Korean Journal of Stroke
2012;14(2):82-85
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Renal artery stenosis (RAS) is defined as a narrowing of main renal artery or its major branches over 50%, and can be the cause of pulmonary edema, renal failure, malignant hypertension and cerebrovascular diseases. The renin-angiotensin-aldosterone system works as a key role. In this paper, we report a case of a 53 year-old patient with left middle cerebellar peduncle infarction, who showed malignant hypertension and RAS. The RAS was diagnosed by renal artery computed tomography angiography and treated with renal artery angioplasty, stenting and antihypertensive medication. In a young patient with ischemic stroke who has refractory hypertension against antihypertensive medications, RAS should be suspected and evaluated.
