Paradoxical Brain Embolism with Klippel-Trenaunay Syndrome
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概要
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Cerebrovascular diseases in patients with Klippel-Trenaunay Syndrome (KTS) are uncommon, and the mechanism of stroke has remained elusive. We describe a patient with KTS who experienced a transient ischemic attack (TIA). Contrast-transcranial Doppler with the Valsalva maneuver revealed a right-to-left shunt and contrast-transesophageal echocardiography confirmed patent foramen ovale. Ultrasonography revealed dilated superficial and deep veins in the lower extremities; the D-dimer level was high and indicated hypercoagulability. Therefore, the mechanism of TIA was diagnosed as paradoxical embolism. To the best of our knowledge, this is the first case report of paradoxical embolism in a patient with KTS.
著者
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Sakai Kenichiro
Department Of Stroke Medicine Kawasaki Medical School
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Kimura Kazumi
Department Of Cerebrovascular Disease Kumamoto City Hospital Cerebrovascular Division Department Of
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Iguchi Yasuyuki
Department Of Stroke Medicine Kawasaki Medical School
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Kobayashi Kazuto
Department Of Cardiovascular Medicine Okayama University
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Matsumoto Noriko
Department Of Agricultural Chemistry Faculty Of Agriculture Tottori University
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Kobayashi Kazuto
Department of Stroke Medicine, Kawasaki Medical School, Japan
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Sibazaki Kensaku
Department of Stroke Medicine, Kawasaki Medical School, Japan
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