Clinical Reasoning: A 50-Year-Old Man With Intracerebral Hemorrhage and Tortuous Retinal Arterioles

A 50-year-old man presented with headache. Examination showed left sided ataxic hemiparesis and elevated blood pressure. Brain imaging revealed an acute intracerebral hemorrhage in the right lentiform nucleus, deep and periventricular white matter hyperintensities, and predominantly deep cerebral mi...

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Veröffentlicht in:	Neurology 2024-09, Vol.103 (6), p.e209796
Hauptverfasser:	Bouchart, Jean, Weber, Sacha, Coste, Thibault, Laville, Marie-Alice, Loisel, Margaux, Nehme, Ahmad
Format:	Artikel
Sprache:	eng
Schlagworte:	Arterioles - diagnostic imaging Arterioles - pathology Cerebral Hemorrhage - diagnostic imaging Cerebral Hemorrhage - etiology Cerebral Small Vessel Diseases - complications Cerebral Small Vessel Diseases - diagnostic imaging Clinical Reasoning Humans Male Middle Aged Retinal Artery - diagnostic imaging Retinal Artery - pathology
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Beschreibung
Zusammenfassung:	A 50-year-old man presented with headache. Examination showed left sided ataxic hemiparesis and elevated blood pressure. Brain imaging revealed an acute intracerebral hemorrhage in the right lentiform nucleus, deep and periventricular white matter hyperintensities, and predominantly deep cerebral microbleeds. Fundus examination showed important arteriolar tortuosity involving several blood vessels. In this young patient, we explain the diagnostic approach to intracerebral hemorrhage, the causes of cerebral small vessel disease, and the interpretation of biomolecular tests.
ISSN:	0028-3878 1526-632X 1526-632X
DOI:	10.1212/WNL.0000000000209796