Multiple intracranial arterial stenoses in association with thyrotoxicosis: a case report.
A 26-year-old young man, had Graves' disease in hyperthyroid state, presented with frequent episodic transient left hemiparesis and mild slurred speech lasting for few minutes to 2 hours for one month. Infarction at posterior limb of right internal capsule was found on brain MRI. Angiography revealed multiple intracranial arteries stenoses around the circle of Willis. After treatment with propylthiouracil and aspirin, his thyroid function returned to normal and the patient remained free from stroke.
Tsai
Meng-Han
MH
First Department of Neurology, Chang Gung Memorial Hospital, Kaohsiung, Taiwan.
Tan
Teng-Yeow
TY
Kuo
Yeh-Lin
YL
Chang
Ku-Chou
KC
D000328:Adult; D001157:Arterial Occlusive Diseases / Q000209:etiology*; D002545:Brain Ischemia / Q000209:etiology*; D002941:Circle of Willis; D006801:Humans; D008297:Male; D020521:Stroke / Q000209:etiology*; D013971:Thyrotoxicosis / Q000150:complications*