Localized scleroderma associated with progressing ischemic stroke
We present a 73 year-old Japanese woman with localized scleroderma involving the right side of the scalp accompanied by continuous tingling pain, who developed insidiously progressive left hemiparesis. In magnetic resonance imaging of the brain, an infarct first appeared in the watershed region of t...
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| Veröffentlicht in: | Journal of the neurological sciences 1999-02, Vol.163 (1), p.86-89 |
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| container_title | Journal of the neurological sciences |
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| creator | Kanzato, Naomi Matsuzaki, Toshio Komine, Yukihiro Saito, Mineki Saito, Akiko Yoshio, Taku Suehara, Masahito |
| description | We present a 73 year-old Japanese woman with localized scleroderma involving the right side of the scalp accompanied by continuous tingling pain, who developed insidiously progressive left hemiparesis. In magnetic resonance imaging of the brain, an infarct first appeared in the watershed region of the right middle cerebral artery territory and subsequently extended to deep white matter accompanied by scattered hemorrhages. Focal stenosis in the M2 portion of the right middle cerebral artery was revealed on magnetic resonance angiography, and the distal vessels were only shown faintly. A biopsy specimen from the sclerotic scalp lesion showed obvious thickening of vessel walls and mild mononuclear cell infiltration. We believe that the progressing ischemic stroke was caused by hemodynamic disturbances from localized sclerotic obstruction of the middle cerebral artery, with an autoimmune pathogenesis. |
| doi_str_mv | 10.1016/S0022-510X(98)00267-6 |
| format | Article |
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In magnetic resonance imaging of the brain, an infarct first appeared in the watershed region of the right middle cerebral artery territory and subsequently extended to deep white matter accompanied by scattered hemorrhages. Focal stenosis in the M2 portion of the right middle cerebral artery was revealed on magnetic resonance angiography, and the distal vessels were only shown faintly. A biopsy specimen from the sclerotic scalp lesion showed obvious thickening of vessel walls and mild mononuclear cell infiltration. We believe that the progressing ischemic stroke was caused by hemodynamic disturbances from localized sclerotic obstruction of the middle cerebral artery, with an autoimmune pathogenesis.</description><identifier>ISSN: 0022-510X</identifier><identifier>EISSN: 1878-5883</identifier><identifier>DOI: 10.1016/S0022-510X(98)00267-6</identifier><identifier>PMID: 10223417</identifier><identifier>CODEN: JNSCAG</identifier><language>eng</language><publisher>Shannon: Elsevier B.V</publisher><subject>Aged ; Anti-endothelial cell antibody ; Arterioles - pathology ; Biological and medical sciences ; Brain - pathology ; Central nervous system vasculitis ; Cerebral Arteries - pathology ; Cerebral infarction ; Cerebral Infarction - complications ; Cerebral Infarction - diagnosis ; Collagen - analysis ; Disease Progression ; Female ; Hemiplegia - etiology ; Humans ; Localized scleroderma ; Magnetic Resonance Angiography ; Magnetic Resonance Imaging ; Medical sciences ; Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. Vasculitis ; Scalp - pathology ; Scleroderma, Localized - complications ; Scleroderma, Localized - diagnosis ; Scleroderma, Localized - pathology</subject><ispartof>Journal of the neurological sciences, 1999-02, Vol.163 (1), p.86-89</ispartof><rights>1999 Elsevier Science B.V.</rights><rights>1999 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c442t-ef7ea93f9860beb83f17c15c4dee79dd43f3f79f46059a9795016e6247c4829e3</citedby><cites>FETCH-LOGICAL-c442t-ef7ea93f9860beb83f17c15c4dee79dd43f3f79f46059a9795016e6247c4829e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/S0022-510X(98)00267-6$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3536,27903,27904,45974</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1727826$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10223417$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kanzato, Naomi</creatorcontrib><creatorcontrib>Matsuzaki, Toshio</creatorcontrib><creatorcontrib>Komine, Yukihiro</creatorcontrib><creatorcontrib>Saito, Mineki</creatorcontrib><creatorcontrib>Saito, Akiko</creatorcontrib><creatorcontrib>Yoshio, Taku</creatorcontrib><creatorcontrib>Suehara, Masahito</creatorcontrib><title>Localized scleroderma associated with progressing ischemic stroke</title><title>Journal of the neurological sciences</title><addtitle>J Neurol Sci</addtitle><description>We present a 73 year-old Japanese woman with localized scleroderma involving the right side of the scalp accompanied by continuous tingling pain, who developed insidiously progressive left hemiparesis. In magnetic resonance imaging of the brain, an infarct first appeared in the watershed region of the right middle cerebral artery territory and subsequently extended to deep white matter accompanied by scattered hemorrhages. Focal stenosis in the M2 portion of the right middle cerebral artery was revealed on magnetic resonance angiography, and the distal vessels were only shown faintly. A biopsy specimen from the sclerotic scalp lesion showed obvious thickening of vessel walls and mild mononuclear cell infiltration. We believe that the progressing ischemic stroke was caused by hemodynamic disturbances from localized sclerotic obstruction of the middle cerebral artery, with an autoimmune pathogenesis.</description><subject>Aged</subject><subject>Anti-endothelial cell antibody</subject><subject>Arterioles - pathology</subject><subject>Biological and medical sciences</subject><subject>Brain - pathology</subject><subject>Central nervous system vasculitis</subject><subject>Cerebral Arteries - pathology</subject><subject>Cerebral infarction</subject><subject>Cerebral Infarction - complications</subject><subject>Cerebral Infarction - diagnosis</subject><subject>Collagen - analysis</subject><subject>Disease Progression</subject><subject>Female</subject><subject>Hemiplegia - etiology</subject><subject>Humans</subject><subject>Localized scleroderma</subject><subject>Magnetic Resonance Angiography</subject><subject>Magnetic Resonance Imaging</subject><subject>Medical sciences</subject><subject>Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. Vasculitis</subject><subject>Scalp - pathology</subject><subject>Scleroderma, Localized - complications</subject><subject>Scleroderma, Localized - diagnosis</subject><subject>Scleroderma, Localized - pathology</subject><issn>0022-510X</issn><issn>1878-5883</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1999</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkEtLAzEQx4Motj4-grIHET2sJvvI4yQivqDgQQVvIc1O2uhuVzNbRT-9abeoN09hkt9M_vMjZI_RE0YZP72nNMvSktGnIyWPY8FFytfIkEkh01LKfJ0Mf5AB2UJ8ppRyKdUmGbD4kBdMDMn5qLWm9l9QJWhrCG0FoTGJQWytN128_vDdNHkN7SQAop9NEo92Co23CXahfYEdsuFMjbC7OrfJ49Xlw8VNOrq7vr04H6W2KLIuBSfAqNwpyekYxjJ3TFhW2qICEKqqitzlTihXcFoqo4Qq45bAs0LYQmYK8m1y2M-NWd7mgJ1uYhKoazODdo6aK8EEz1kEyx60oUUM4PRr8I0Jn5pRvXCnl-70QoxWUi_daR779lcfzMcNVH-6elkROFgBBqM0F8zMevzlRCZktphz1mMQbbx7CBqth5mFygewna5a_0-Sb8HNi6c</recordid><startdate>19990201</startdate><enddate>19990201</enddate><creator>Kanzato, Naomi</creator><creator>Matsuzaki, Toshio</creator><creator>Komine, Yukihiro</creator><creator>Saito, Mineki</creator><creator>Saito, Akiko</creator><creator>Yoshio, Taku</creator><creator>Suehara, Masahito</creator><general>Elsevier B.V</general><general>Elsevier Science</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19990201</creationdate><title>Localized scleroderma associated with progressing ischemic stroke</title><author>Kanzato, Naomi ; Matsuzaki, Toshio ; Komine, Yukihiro ; Saito, Mineki ; Saito, Akiko ; Yoshio, Taku ; Suehara, Masahito</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c442t-ef7ea93f9860beb83f17c15c4dee79dd43f3f79f46059a9795016e6247c4829e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1999</creationdate><topic>Aged</topic><topic>Anti-endothelial cell antibody</topic><topic>Arterioles - pathology</topic><topic>Biological and medical sciences</topic><topic>Brain - pathology</topic><topic>Central nervous system vasculitis</topic><topic>Cerebral Arteries - pathology</topic><topic>Cerebral infarction</topic><topic>Cerebral Infarction - complications</topic><topic>Cerebral Infarction - diagnosis</topic><topic>Collagen - analysis</topic><topic>Disease Progression</topic><topic>Female</topic><topic>Hemiplegia - etiology</topic><topic>Humans</topic><topic>Localized scleroderma</topic><topic>Magnetic Resonance Angiography</topic><topic>Magnetic Resonance Imaging</topic><topic>Medical sciences</topic><topic>Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. Vasculitis</topic><topic>Scalp - pathology</topic><topic>Scleroderma, Localized - complications</topic><topic>Scleroderma, Localized - diagnosis</topic><topic>Scleroderma, Localized - pathology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kanzato, Naomi</creatorcontrib><creatorcontrib>Matsuzaki, Toshio</creatorcontrib><creatorcontrib>Komine, Yukihiro</creatorcontrib><creatorcontrib>Saito, Mineki</creatorcontrib><creatorcontrib>Saito, Akiko</creatorcontrib><creatorcontrib>Yoshio, Taku</creatorcontrib><creatorcontrib>Suehara, Masahito</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of the neurological sciences</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kanzato, Naomi</au><au>Matsuzaki, Toshio</au><au>Komine, Yukihiro</au><au>Saito, Mineki</au><au>Saito, Akiko</au><au>Yoshio, Taku</au><au>Suehara, Masahito</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Localized scleroderma associated with progressing ischemic stroke</atitle><jtitle>Journal of the neurological sciences</jtitle><addtitle>J Neurol Sci</addtitle><date>1999-02-01</date><risdate>1999</risdate><volume>163</volume><issue>1</issue><spage>86</spage><epage>89</epage><pages>86-89</pages><issn>0022-510X</issn><eissn>1878-5883</eissn><coden>JNSCAG</coden><abstract>We present a 73 year-old Japanese woman with localized scleroderma involving the right side of the scalp accompanied by continuous tingling pain, who developed insidiously progressive left hemiparesis. In magnetic resonance imaging of the brain, an infarct first appeared in the watershed region of the right middle cerebral artery territory and subsequently extended to deep white matter accompanied by scattered hemorrhages. Focal stenosis in the M2 portion of the right middle cerebral artery was revealed on magnetic resonance angiography, and the distal vessels were only shown faintly. A biopsy specimen from the sclerotic scalp lesion showed obvious thickening of vessel walls and mild mononuclear cell infiltration. We believe that the progressing ischemic stroke was caused by hemodynamic disturbances from localized sclerotic obstruction of the middle cerebral artery, with an autoimmune pathogenesis.</abstract><cop>Shannon</cop><pub>Elsevier B.V</pub><pmid>10223417</pmid><doi>10.1016/S0022-510X(98)00267-6</doi><tpages>4</tpages></addata></record> |
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| ispartof | Journal of the neurological sciences, 1999-02, Vol.163 (1), p.86-89 |
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| subjects | Aged Anti-endothelial cell antibody Arterioles - pathology Biological and medical sciences Brain - pathology Central nervous system vasculitis Cerebral Arteries - pathology Cerebral infarction Cerebral Infarction - complications Cerebral Infarction - diagnosis Collagen - analysis Disease Progression Female Hemiplegia - etiology Humans Localized scleroderma Magnetic Resonance Angiography Magnetic Resonance Imaging Medical sciences Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. Vasculitis Scalp - pathology Scleroderma, Localized - complications Scleroderma, Localized - diagnosis Scleroderma, Localized - pathology |
| title | Localized scleroderma associated with progressing ischemic stroke |
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