Multiple Cerebral Arterial Stenosis Associated with Hepatitis B Virus Infection.
- Author:
Joon Tae KIM
1
;
Man Seok PARK
;
Tai Seung NAM
;
Seong Min CHOI
;
Seung Han LEE
;
Byeong Chae KIM
;
Myeong Kyu KIM
;
Ki Hyun CHO
Author Information
- Publication Type:Case Report
- Keywords: hepatitis B virus; atherosclerosis; reactivated HBV infection; multiple cerebral arterial stenoses
- MeSH: Adult; Antigens, Surface; Atherosclerosis; Brain; Carotid Artery, External; Constriction, Pathologic; Dysarthria; Facial Paralysis; Hepatitis; Hepatitis B; Hepatitis B virus; Humans; Lamivudine; Magnetic Resonance Spectroscopy; Middle Cerebral Artery; Risk Factors; Serologic Tests; Viruses
- From:Journal of Clinical Neurology 2011;7(1):40-42
- CountryRepublic of Korea
- Language:English
- Abstract: BACKGROUND: There are conflicting findings regarding the association between hepatitis B (HB) virus (HBV) infection and atherosclerosis. CASE REPORT: A 34-year-old man was admitted for transient dysarthria and facial palsy. Ten years previously he had been diagnosed with HBV infection and treated with lamivudine (100 mg/day). Reactivation of HBV was detected 6 months before this recent admission. Serologic tests revealed that he was positive for HB early antigen, HB surface antigen, and anti-HB core. Brain magnetic resonance images were normal, but magnetic resonance angiograms revealed severe stenosis of the right middle cerebral artery, both external carotid arteries, and the basilar artery. CONCLUSIONS: This case report reveals that a young patient with reactivated HBV developed multiple arterial stenoses even though he had no risk factors for this disease.
