Brain Stem Infarction Due to Basilar Artery Dissection in a Patient with a Parotitis and Hyperhomocysteinemia.
- Author:
Byoung June AHN
1
Author Information
1. Department of Neurology, Soonchunhyang University Gumi Hospital, Gumi, Korea. nick1276@naver.com
- Publication Type:Case Report
- Keywords:
Basilar artery dissection;
Parotitis;
Hyperhomocysteinemi
- MeSH:
Adult;
Angiography;
Arteries;
Basilar Artery*;
Brain Stem Infarctions*;
Brain Stem*;
Brain*;
Dysarthria;
Emergency Service, Hospital;
Gyeongsangbuk-do;
Homocysteine;
Humans;
Hyperhomocysteinemia*;
Magnetic Resonance Imaging;
Parotitis*;
Plasma;
Pons
- From:Soonchunhyang Medical Science
2017;23(1):46-48
- CountryRepublic of Korea
- Language:English
-
Abstract:
A 29-year-old man developed sudden dysarthria and right-sided weakness 3 days before admission to hospital. He was diagnosed with parotitis in the emergency room of Soonchunhyang University Gumi Hospital. The plasma levels of homocysteine were elevated (30.48 mg/dL). A brain magnetic resonance imaging scan revealed a high signal intensity lesion in the left paramedian pons and computed tomography angiography showed a marked narrowing of the mid-basilar artery. We report a rare case of spontaneous basilar artery dissection caused by a recent infection and hyperhomocysteinemia.
