A Case of Multifocal Cerebral Infarction Associated with Idiopathic Hypereosinophilic Syndrome.
- Author:
Sung Bae LEE
1
;
Ook Sun CHOI
;
Heung Sun KANG
;
Chung Whee CHOE
;
Kyon Sam KIM
;
Myung Shick KIM
;
Jung Sang SONG
;
Jong Hwa BAE
Author Information
1. Department of Internal Medicine, College of Medicine, Kyung Hee University, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Hypereosinophilic syndrome;
cerebral infarction
- MeSH:
Adult;
Bone Marrow;
Brain;
Cerebral Infarction*;
Eosinophilia;
Eosinophils;
Frontal Lobe;
Headache;
Humans;
Hydroxyurea;
Hypereosinophilic Syndrome*;
Infarction;
Magnetic Resonance Imaging;
Male;
Prednisone;
Thalamus;
Thrombosis;
Upper Extremity
- From:Korean Journal of Medicine
1997;52(3):419-423
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The idiopathic hypereosinophilic syndrome represent a heterogenous group of disorders with common features of prolonged eosinophilia of an undetectable cause and organ system dysfunction. Recently, we experienced a case of idiopathic hypereosinophilic syndrome with multifocal cerebral infarction. The patient was 33-year-old male and visited our hospital with right upper extremity weakness and headache. The blood eosinophil counts were 8,316/mma and the marrow showed eosinophils were predominant and in mature forms The two-dimensional echocardiogram showed hyperechoic density at left ventricular apical wall without thrombus formation. Multifocal infarctions were seen at left cerebellar hemisphere, left thalamus, right frontal lobe and left periventricular white matter on brain MRI scan. No cause for hypereosinophilia was found. He was treated with prednisone and hydroxyurea.
