Abstract
The first case of late onset Buerger's Disease with synchronous cerebral involvement is reported. A 57-year-old male, who was a heavy smoker, presented with sudden onset right limb numbness. Physical examination showed cross-over numbness on the left side of his face and right side of his trunk, left homonymous hemianopsia and extra-ocular muscle limitation. The brain MRI showed multiple new infarcts in the cerebellum, occipital lobe and left thalamus. Cyanosis of the digits of the left hand was also discerned, with progression accompanied by pain and repeated episodes of biphasic color changes indicating Raynaud's phenomenon. The angiography showed stenosis at the left distal ulnar and radial arteries of the wrist, and collateral vessels from the anterior interosseous artery. Serological study showed no evidence of autoimmune disease. The patient was advised to stop smoking and medication was also given. His pain and cyanosis gradually improved within 1 week. The clinical course, imaging results and laboratory study of this unique case is demonstrated herein.
| Original language | English |
|---|---|
| Pages (from-to) | 28-31 |
| Number of pages | 4 |
| Journal | Tzu Chi Medical Journal |
| Volume | 19 |
| Issue number | 1 |
| Publication status | Published - 2007 Mar 1 |
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All Science Journal Classification (ASJC) codes
- Medicine(all)
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Late onset buerger's disease with multiple cerebral infarcts. / Huang, Wen-Wei; Wu, Chih-Hsing; Li, Chien Feng; Pai, Ming-Chyi.
In: Tzu Chi Medical Journal, Vol. 19, No. 1, 01.03.2007, p. 28-31.Research output: Contribution to journal › Article
TY - JOUR
T1 - Late onset buerger's disease with multiple cerebral infarcts
AU - Huang, Wen-Wei
AU - Wu, Chih-Hsing
AU - Li, Chien Feng
AU - Pai, Ming-Chyi
PY - 2007/3/1
Y1 - 2007/3/1
N2 - The first case of late onset Buerger's Disease with synchronous cerebral involvement is reported. A 57-year-old male, who was a heavy smoker, presented with sudden onset right limb numbness. Physical examination showed cross-over numbness on the left side of his face and right side of his trunk, left homonymous hemianopsia and extra-ocular muscle limitation. The brain MRI showed multiple new infarcts in the cerebellum, occipital lobe and left thalamus. Cyanosis of the digits of the left hand was also discerned, with progression accompanied by pain and repeated episodes of biphasic color changes indicating Raynaud's phenomenon. The angiography showed stenosis at the left distal ulnar and radial arteries of the wrist, and collateral vessels from the anterior interosseous artery. Serological study showed no evidence of autoimmune disease. The patient was advised to stop smoking and medication was also given. His pain and cyanosis gradually improved within 1 week. The clinical course, imaging results and laboratory study of this unique case is demonstrated herein.
AB - The first case of late onset Buerger's Disease with synchronous cerebral involvement is reported. A 57-year-old male, who was a heavy smoker, presented with sudden onset right limb numbness. Physical examination showed cross-over numbness on the left side of his face and right side of his trunk, left homonymous hemianopsia and extra-ocular muscle limitation. The brain MRI showed multiple new infarcts in the cerebellum, occipital lobe and left thalamus. Cyanosis of the digits of the left hand was also discerned, with progression accompanied by pain and repeated episodes of biphasic color changes indicating Raynaud's phenomenon. The angiography showed stenosis at the left distal ulnar and radial arteries of the wrist, and collateral vessels from the anterior interosseous artery. Serological study showed no evidence of autoimmune disease. The patient was advised to stop smoking and medication was also given. His pain and cyanosis gradually improved within 1 week. The clinical course, imaging results and laboratory study of this unique case is demonstrated herein.
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UR - http://www.scopus.com/inward/citedby.url?scp=34047217351&partnerID=8YFLogxK
M3 - Article
AN - SCOPUS:34047217351
VL - 19
SP - 28
EP - 31
JO - Tzu Chi Medical Journal
JF - Tzu Chi Medical Journal
SN - 1016-3190
IS - 1
ER -