Clinical Reasoning: A 50-Year-Old Man With Intracerebral Hemorrhage and Tortuous Retinal Arterioles

A 50-year-old man presented with headache. Examination showed left sided ataxic hemiparesis and elevated blood pressure. Brain imaging revealed an acute intracerebral hemorrhage in the right lentiform nucleus, deep and periventricular white matter hyperintensities, and predominantly deep cerebral mi...

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Veröffentlicht in:Neurology Jg. 103; H. 6; S. e209796
Hauptverfasser: Bouchart, Jean, Weber, Sacha, Coste, Thibault, Laville, Marie-Alice, Loisel, Margaux, Nehme, Ahmad
Format: Journal Article
Sprache:Englisch
Veröffentlicht: United States 24.09.2024
Schlagworte:
Arterioles - diagnostic imaging
Arterioles - pathology
Cerebral Hemorrhage - diagnostic imaging
Cerebral Hemorrhage - etiology
Cerebral Small Vessel Diseases - complications
Cerebral Small Vessel Diseases - diagnostic imaging
Clinical Reasoning
Humans
Male
Middle Aged
Retinal Artery - diagnostic imaging
Retinal Artery - pathology
ISSN:1526-632X, 1526-632X
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Zusammenfassung:A 50-year-old man presented with headache. Examination showed left sided ataxic hemiparesis and elevated blood pressure. Brain imaging revealed an acute intracerebral hemorrhage in the right lentiform nucleus, deep and periventricular white matter hyperintensities, and predominantly deep cerebral microbleeds. Fundus examination showed important arteriolar tortuosity involving several blood vessels. In this young patient, we explain the diagnostic approach to intracerebral hemorrhage, the causes of cerebral small vessel disease, and the interpretation of biomolecular tests.
Bibliographie:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
content type line 23
ObjectType-Report-1
ObjectType-Article-3
ISSN:1526-632X
1526-632X
DOI:10.1212/WNL.0000000000209796