Lacunar Syndrome Associated with Paradoxical Brain Embolism
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概要
- 論文の詳細を見る
We report a patient who developed lacunar syndrome due to left upper pons infarction after performing leg exercises associated with paradoxical brain embolism. A 32-year-old man developed right arm weakness and moderate dysarthria following leg exercise. Brain MRI showed a paramedian pontine infarction of the left upper pons, and contrast transesophageal echocardiographic examination indicated that the patent foramen ovale was the embolic source. Simultaneous RI venography examination of the lower limbs identified deep venous thrombosis in the right leg as a paradoxical emboligenic source. We concluded that the presence of lacunar syndrome suggests that this mechanism was responsible for the paradoxical brain embolism.
著者
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Kinoshita Makoto
Department Of Cardiovascular Medicine Graduate School Of Medicine Kyoto University
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Shimizu Yoshiomi
Department Of Internal Medicine And Therapeutics Osaka University Graduate School Of Medicine
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Yamaguchi Takenori
Department Of Internal Medicine (metabolism And Endocrinology) Graduate School Of Comprehensive Huma
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Yamamoto Shiro
Department of Neurology, Kobe City Medical Center General Hospital
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Fukunaga Ryuzo
Department of Cerebrovascular Disease, Hoshigaoka Koseinenkin Hospital
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Yamaguchi Takenori
Department of Neurology, Japan Labour Health and Welfare Organization, Kansai Rosai Hospital
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Kajiyama Kouji
Department of Neurology, Japan Labour Health and Welfare Organization, Kansai Rosai Hospital
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Yamamoto Shiro
Department of Neurology, Japan Labour Health and Welfare Organization, Kansai Rosai Hospital
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Fukunaga Ryuzo
Department of Internal Medicine, Hoshigaoka Kouseinenkin Hospital
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