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Vol.49 No.6 >
Please use this identifier to cite or link to this item:
http://hdl.handle.net/10564/483
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Title: | 心不全を契機に発症したincomplete cerebral infarctionの1例 |
Other Titles: | A CASE OF INCOMPLETE CEREBRAL INFARCTION DEVELOPING SECONDARY TO CONGESTIVE HEART FAILURE |
Authors: | 中谷, 公彦 山野, 繁 坂口, 泰弘 橋本, 俊雄 土肥, 和紘 野林, 美里 米澤, 泰司 榊, 壽右 |
Keywords: | congestive heart failure dilated cardiomyopathy incomplete cerebral infarction pulmonary edema |
Issue Date: | 31-Dec-1998 |
Publisher: | 奈良医学会 |
Citation: | Journal of Nara Medical Association Vol.49 No.6 p.482-488 |
Abstract: | A 65-year-old man was admitted to our hospital because of severe dyspnea
and deep coma. After micturition, vertigo and progressive dyspnea developed suddenly.
Coarse crackles were heard at both lung bases. On neurologic examination, quadriplegia
was absent, but pin-point pupils in both eyes, dysphagia, sensory disturbance at right side
of face, deviation to the left of uvula and hoarseness were present. A plain X-ray film of
the chest showed pulmonary edema, which was evidence of congestive heart failure. A
computed tomographic (CT) scan and magnetic resonance imaging (MRI) of the brain
showed a calcified aneurysm, but no abnormal areas indicative of cerebral hemorrhages or
infarctions. A brain angiogram showed severe stenotic lesions in both vertebral arteries.
Myocardial biopsy revealed dilated cardiomyopathy, which was considered to be the cause
of the congestive heart failure. On the forty-fifth hospital day, the neurological findings
normalized. In this patient, incomplete cerebral infarction was considered to be caused by
congestive heart failure, which led to circulatory collapse in the brainstem. |
URI: | http://hdl.handle.net/10564/483 |
ISSN: | 13450069 |
Appears in Collections: | Vol.49 No.6
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