Embolism and impaired washout: A possible explanation of border zone strokes in hypereosinophilic syndrome

被引:20
作者
Aida, Lago [1 ]
Parkhutik, Vera [1 ]
Ignacio Tembl, Jose [1 ]
Martin, Nuria [1 ]
Frasquet, Marina [1 ]
Bataller, Luis [1 ]
机构
[1] HU La Fe, Dept Neurol, Valencia, Spain
关键词
Cerebrovascular disorders; Hypereosinophilic syndrome; Ischemic stroke; WATERSHED INFARCTION; BRAIN INFARCTIONS; ISCHEMIC-STROKE; HYPOPERFUSION;
D O I
10.1016/j.jns.2012.12.002
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
We describe 4 patients with stroke caused by hypereosinophilic syndrome, all of whom presented with border zone infarcts, and discuss the possible underlying mechanism. Cardioembolism (endomiocardial fibrosis) would coexist with impaired washout (perfusion disturbance due to high eosinophil count and/or eosinophil-derived substances), explaining the watershed characteristics of the infarcts. (C) 2012 Elsevier B.V. All rights reserved.
引用
收藏
页码:162 / 164
页数:3
相关论文
共 20 条
[1]  
Amarenco P, 2008, NEUROLOGY, V70, P80
[2]   CARDIAC SOURCES OF EMBOLISM AND CEREBRAL INFARCTION - CLINICAL CONSEQUENCES AND VASCULAR CONCOMITANTS - THE LAUSANNE STROKE REGISTRY [J].
BOGOUSSLAVSKY, J ;
CACHIN, C ;
REGLI, F ;
DESPLAND, PA ;
VANMELLE, G ;
KAPPENBERGER, L .
NEUROLOGY, 1991, 41 (06) :855-859
[3]   Impaired clearance of emboli (washout) is an important link between hypoperfusion, embolism, and ischemic stroke [J].
Caplan, LR ;
Hennerici, M .
ARCHIVES OF NEUROLOGY, 1998, 55 (11) :1475-1482
[4]   Is hypoperfusion an important cause of strokes? If so, how? [J].
Caplan, LR ;
Wong, KS ;
Gao, S ;
Hennerici, MG .
CEREBROVASCULAR DISEASES, 2006, 21 (03) :145-153
[5]  
Chang Wei-Lun, 2008, Acta Neurol Taiwan, V17, P184
[6]  
Grigoryan M, 2009, ARCH NEUROL-CHICAGO, V66, P528, DOI 10.1001/archneurol.2009.36
[7]   Sequential magnetic resonance imaging findings in hypereosinophilia-induced encephalopathy [J].
Kwon, SU ;
Kim, JC ;
Kim, JS .
JOURNAL OF NEUROLOGY, 2001, 248 (04) :279-284
[8]   Watershed infarction due to acute hypereosinophilia [J].
McMillan, H. J. ;
Johnston, D. L. ;
Doja, A. .
NEUROLOGY, 2008, 70 (01) :80-82
[9]   Cardiovascular manifestations of hypereosinophilic syndromes [J].
Ogbogu, Princess U. ;
Rosing, Douglas R. ;
Horne, McDonald K., III .
IMMUNOLOGY AND ALLERGY CLINICS OF NORTH AMERICA, 2007, 27 (03) :457-+
[10]   THE MECHANISM OF EMBOLIC WATERSHED INFARCTION - EXPERIMENTAL STUDIES [J].
POLLANEN, MS ;
DECK, JHN .
CANADIAN JOURNAL OF NEUROLOGICAL SCIENCES, 1990, 17 (04) :395-398