FLAIR Hyperintense Vessel Sign of Both MCAs with Severe Heart Failure
Introduction. Fluid-attenuated inversion recovery hyperintense vessels (FHVs) can be seen in patients with occlusion or severe stenosis of the cerebral arteries. FHVs are known to reflect stagnant or slow blood flow within the cerebral artery. Case Report. A 75-year-old woman presented with suddenly...
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Wiley
2016-01-01
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| Series: | Case Reports in Neurological Medicine |
| Online Access: | http://dx.doi.org/10.1155/2016/5169056 |
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| author | Donghee Kim Seung-Yul Lee Kwon-Duk Seo |
| author_facet | Donghee Kim Seung-Yul Lee Kwon-Duk Seo |
| author_sort | Donghee Kim |
| collection | DOAJ |
| description | Introduction. Fluid-attenuated inversion recovery hyperintense vessels (FHVs) can be seen in patients with occlusion or severe stenosis of the cerebral arteries. FHVs are known to reflect stagnant or slow blood flow within the cerebral artery. Case Report. A 75-year-old woman presented with suddenly developed gait disturbance. She had a history of hypertension, heart failure, and dementia. Brain MRI demonstrated FHVs within both middle cerebral arteries (MCAs). However, there was no acute ischemic lesion and severe stenosis or occlusion of the cerebral arteries. In the baseline routine laboratory investigations, the AST, ALT, and B-type natriuretic peptide levels were elevated. Transthoracic echocardiography (TTE) showed mitral valve prolapse with severe regurgitation. Blood pressure control and conservative management for ischemic hepatitis were performed. After 7 days, the transaminase levels were normalized, and the patient was able to walk with normal gait. Conclusions. In this patient, underlying chronic cerebral hypoperfusion and additionally decreased systemic perfusion seemed to provoke ischemic hepatitis and contribute to the development of FHVs. |
| format | Article |
| id | doaj-art-70e40f3dda8b432a85c63bed073c0915 |
| institution | Kabale University |
| issn | 2090-6668 2090-6676 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Neurological Medicine |
| spelling | doaj-art-70e40f3dda8b432a85c63bed073c09152025-02-03T01:27:42ZengWileyCase Reports in Neurological Medicine2090-66682090-66762016-01-01201610.1155/2016/51690565169056FLAIR Hyperintense Vessel Sign of Both MCAs with Severe Heart FailureDonghee Kim0Seung-Yul Lee1Kwon-Duk Seo2Department of Neurology, Wonkwang University Sanbon Hospital, Sanbonro 321, Gunpo, Gyeonggi-do 15-865, Republic of KoreaDepartment of Cardiology, Wonkwang University Sanbon Hospital, Sanbonro 321, Gunpo, Gyeonggi-do 15-865, Republic of KoreaDepartment of Neurology, Wonkwang University Sanbon Hospital, Sanbonro 321, Gunpo, Gyeonggi-do 15-865, Republic of KoreaIntroduction. Fluid-attenuated inversion recovery hyperintense vessels (FHVs) can be seen in patients with occlusion or severe stenosis of the cerebral arteries. FHVs are known to reflect stagnant or slow blood flow within the cerebral artery. Case Report. A 75-year-old woman presented with suddenly developed gait disturbance. She had a history of hypertension, heart failure, and dementia. Brain MRI demonstrated FHVs within both middle cerebral arteries (MCAs). However, there was no acute ischemic lesion and severe stenosis or occlusion of the cerebral arteries. In the baseline routine laboratory investigations, the AST, ALT, and B-type natriuretic peptide levels were elevated. Transthoracic echocardiography (TTE) showed mitral valve prolapse with severe regurgitation. Blood pressure control and conservative management for ischemic hepatitis were performed. After 7 days, the transaminase levels were normalized, and the patient was able to walk with normal gait. Conclusions. In this patient, underlying chronic cerebral hypoperfusion and additionally decreased systemic perfusion seemed to provoke ischemic hepatitis and contribute to the development of FHVs.http://dx.doi.org/10.1155/2016/5169056 |
| spellingShingle | Donghee Kim Seung-Yul Lee Kwon-Duk Seo FLAIR Hyperintense Vessel Sign of Both MCAs with Severe Heart Failure Case Reports in Neurological Medicine |
| title | FLAIR Hyperintense Vessel Sign of Both MCAs with Severe Heart Failure |
| title_full | FLAIR Hyperintense Vessel Sign of Both MCAs with Severe Heart Failure |
| title_fullStr | FLAIR Hyperintense Vessel Sign of Both MCAs with Severe Heart Failure |
| title_full_unstemmed | FLAIR Hyperintense Vessel Sign of Both MCAs with Severe Heart Failure |
| title_short | FLAIR Hyperintense Vessel Sign of Both MCAs with Severe Heart Failure |
| title_sort | flair hyperintense vessel sign of both mcas with severe heart failure |
| url | http://dx.doi.org/10.1155/2016/5169056 |
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