Pulmonary arteriovenous malformation (PAVM), which is asymptomatic in most cases, is often identified in patients with central nervous system disorders such as brain abscesses and/or cerebral infarctions. We have repo...Pulmonary arteriovenous malformation (PAVM), which is asymptomatic in most cases, is often identified in patients with central nervous system disorders such as brain abscesses and/or cerebral infarctions. We have reported a patient with idiopathic multiple PAVM identified at the onset of cerebral infarction. A 69-year-old woman visited the Department of Neuropathic Internal Medicine at our hospital with chief complaints of numbness in her left hand and a feeling of weakness. The patient was given a diagnosis of subacute cerebral infarction. Multiple old lacunar infarctions were also observed in the deep white matter of the left frontal lobe. Chest computed tomography showed multiple nodular structures, mainly in the right lower lung field (S8), as well as continuous arteries and veins at the site;thus, the patient was finally diagnosed with multiple PAVM. Right lower thoracoscopic lobectomy was performed, as is typical surgical practice in such cases. The patient had a favorable postoperative course, and had no recurrence of cerebral infarction. Although the patient’s lesions were mainly restricted to S8, the fact that there were multiple lesions deemed a lobectomy as the appropriate course of treatment. This case emphasizes that attention should be paid to cases of multiple PAVM since cerebral infarction may arise from the disease.展开更多
This study aimed at assessing the relationship between executive functions and left sided hemiplegia due to non hemorrhagic supratentorial infarction in elderly Egyptians. It is considered a case control study which w...This study aimed at assessing the relationship between executive functions and left sided hemiplegia due to non hemorrhagic supratentorial infarction in elderly Egyptians. It is considered a case control study which was conducted among 90 elderly participants, who were divided into two groups: a case group, 45 cases with cerebral infarctions of 6 months duration or more, and a control group who did not have previous cerebral infarctions. Both groups were selected from Ain shams University Hospital. Each participant was subjected to comprehensive geriatric assessment, executive functions assessment using, block design test, digit span, letter verbal fluency test, animal verbal fluency test and clock drawing test, and then a Computed Tomography (CT) brain was performed. It was found that cases were suffering from more functional impairment than controls, and have had significant lower scores in Mini Mental Status Examination (MMSE) (P < 0.01). Significant difference was found between both groups as regards performance of executive function tests (P < 0.05). Significant effect of Parietal lobe infarctions was found on Block Design Test, Digit Span Test, Animal Verbal Fluency and Clock Drawing Test (P value < 0.05). Conclusion: There was a significant difference between cases and controls as regards their performance in cognitive and executive function tests.展开更多
文摘Pulmonary arteriovenous malformation (PAVM), which is asymptomatic in most cases, is often identified in patients with central nervous system disorders such as brain abscesses and/or cerebral infarctions. We have reported a patient with idiopathic multiple PAVM identified at the onset of cerebral infarction. A 69-year-old woman visited the Department of Neuropathic Internal Medicine at our hospital with chief complaints of numbness in her left hand and a feeling of weakness. The patient was given a diagnosis of subacute cerebral infarction. Multiple old lacunar infarctions were also observed in the deep white matter of the left frontal lobe. Chest computed tomography showed multiple nodular structures, mainly in the right lower lung field (S8), as well as continuous arteries and veins at the site;thus, the patient was finally diagnosed with multiple PAVM. Right lower thoracoscopic lobectomy was performed, as is typical surgical practice in such cases. The patient had a favorable postoperative course, and had no recurrence of cerebral infarction. Although the patient’s lesions were mainly restricted to S8, the fact that there were multiple lesions deemed a lobectomy as the appropriate course of treatment. This case emphasizes that attention should be paid to cases of multiple PAVM since cerebral infarction may arise from the disease.
文摘This study aimed at assessing the relationship between executive functions and left sided hemiplegia due to non hemorrhagic supratentorial infarction in elderly Egyptians. It is considered a case control study which was conducted among 90 elderly participants, who were divided into two groups: a case group, 45 cases with cerebral infarctions of 6 months duration or more, and a control group who did not have previous cerebral infarctions. Both groups were selected from Ain shams University Hospital. Each participant was subjected to comprehensive geriatric assessment, executive functions assessment using, block design test, digit span, letter verbal fluency test, animal verbal fluency test and clock drawing test, and then a Computed Tomography (CT) brain was performed. It was found that cases were suffering from more functional impairment than controls, and have had significant lower scores in Mini Mental Status Examination (MMSE) (P < 0.01). Significant difference was found between both groups as regards performance of executive function tests (P < 0.05). Significant effect of Parietal lobe infarctions was found on Block Design Test, Digit Span Test, Animal Verbal Fluency and Clock Drawing Test (P value < 0.05). Conclusion: There was a significant difference between cases and controls as regards their performance in cognitive and executive function tests.
