title: [Recurrent transient ischaemic attacks in a patient with pansinusitis].
abstract: A 31-year-old woman presented with neurological deficits after an operation for sinusitis. The cranial MRI revealed multiple ischaemic lesions. Laboratory results showed a hypereosinophilia as well as elevated creatine kinase and troponin levels. The ECG implied ST elevations, the left ventricular ejection fraction was highly reduced and the cardiac MRI was suspicious for endomyocarditis. The cardiac biopsy demonstrated the findings of Loeffler's endocarditis. In conclusion the diagnosis of hypereosinophilic syndrome was made and identified as the cause of the neurological deficits.
authors.affiliation: Medizinische Klinik III, Universitätsklinikum Tübingen, Tübingen. christine.zuern@med.uni-tuebingen.de
authors.forename: C S
authors.initials: CS
authors.lastname: Zürn
authors.forename: B R
authors.initials: BR
authors.lastname: Brehm
authors.forename: N
authors.initials: N
authors.lastname: Rüb
authors.forename: H
authors.initials: H
authors.lastname: Langer
authors.forename: K
authors.initials: K
authors.lastname: Klingel
authors.forename: S
authors.initials: S
authors.lastname: Kröber
authors.forename: R
authors.initials: R
authors.lastname: Kandolf
authors.forename: B
authors.initials: B
authors.lastname: Klumpp
authors.forename: S
authors.initials: S
authors.lastname: Miller
authors.forename: M
authors.initials: M
authors.lastname: Gawaz
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D017681:Hypereosinophilic Syndrome / Q000175:diagnosis* / Q000628:therapy*; D002546:Ischemic Attack, Transient / Q000175:diagnosis* / Q000628:therapy*; D009422:Nervous System Diseases / Q000175:diagnosis / Q000517:prevention & control; D055502:Secondary Prevention; D012852:Sinusitis / Q000175:diagnosis* / Q000628:therapy*; D016896:Treatment Outcome