Ischemic Stroke with Cerebral Vasculopathy in POEMS Syndrome
- Author:
Sung Woo KANG
1
;
Bo Kyu CHOI
;
Hee Jo HAN
;
Soo Mi CHO
;
Jihoon CHA
;
Hyo Suk NAM
;
Ji Hoe HEO
;
Young Dae KIM
Author Information
- Publication Type:Case Report
- Keywords: POEMS syndrome; Vascular disease; Stroke
- MeSH: Adult; Brain; Carotid Artery, Internal; Cerebral Arteries; Constriction, Pathologic; Dizziness; Gait; Humans; Magnetic Resonance Imaging; Paraproteinemias; POEMS Syndrome; Polyneuropathies; Skin; Stroke; Vascular Diseases
- From:Journal of the Korean Neurological Association 2018;36(4):350-353
- CountryRepublic of Korea
- Language:Korean
- Abstract: Ischemic stroke caused by the cerebral vasculopathy is a rare complication of polyneuropathy, organomegaly, endocrinopathy, monoclonal gammopathy, and skin changes (POEMS) syndrome. We present a case of recurrent ischemic strokes caused by cerebral vasculopathy in a patient with POEMS syndrome. A 34-year-old man presented with gait disturbance and dizziness. Brain magnetic resonance imaging demonstrated acute ischemic stroke in the middle cerebral artery-anterior cerebral artery (MCA-ACA) border zones of bilateral hemispheres. Repeated angiographic studies showed progressive worsening of the left distal internal carotid artery, ACA, and MCA stenoses, along with sustained steno-occlusion of right MCA.
