Late onset buerger's disease with multiple cerebral infarcts

Research output: Contribution to journalArticle

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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 languageEnglish
Pages (from-to)28-31
Number of pages4
JournalTzu Chi Medical Journal
Volume19
Issue number1
Publication statusPublished - 2007 Mar 1

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Thromboangiitis Obliterans
Cyanosis
Hypesthesia
Ulnar Artery
Hemianopsia
Pain
Occipital Lobe
Raynaud Disease
Radial Artery
Wrist
Thalamus
Cerebellum
Autoimmune Diseases
Physical Examination
Angiography
Pathologic Constriction
Extremities
Hand
Arteries
Color

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

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title = "Late onset buerger's disease with multiple cerebral infarcts",
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.",
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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 journalArticle

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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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