Lee Eun Ju, Lee Young-Jun, Lee Seung Ro, Park Dong Woo, Kim Hyun Young
Department of Radiology, Hanyang University College of Medicine, Seoul, Korea.
Korean J Radiol. 2009 Sep-Oct;10(5):511-4. doi: 10.3348/kjr.2009.10.5.511. Epub 2009 Aug 25.
We report a case of hypereosinophilia causing multiple areas of cerebral infarcts. A 52-year-old Korean man presented with dysarthria and weakness in both arms. A brain MRI revealed multiple acute infarcts in the distal border zone with focal intracerebral hemorrhage, whereas a cerebral angiogram was not remarkable. The eosinophil count was 5,500/microL and was accompanied by elevated cardiac enzyme levels. The pattern of cerebral infarcts and laboratory results suggest a thromboembolic infarction associated with hypereosinophilia.
我们报告一例因嗜酸性粒细胞增多症导致多处脑梗死的病例。一名52岁的韩国男性出现构音障碍和双臂无力症状。脑部磁共振成像(MRI)显示在远隔边缘带存在多处急性梗死灶,并伴有局灶性脑出血,而脑血管造影未见明显异常。嗜酸性粒细胞计数为5500/微升,同时伴有心肌酶水平升高。脑梗死的模式及实验室检查结果提示为与嗜酸性粒细胞增多症相关的血栓栓塞性梗死。