Subacute brainstem angioencephalopathy: favorable outcome with anticoagulation therapy.
We present a patient who developed progressive neurological disease caused by lesions histologically compatible with those observed in subacute brainstem angioencephalopathy. The patient was treated with low-molecular weight heparin, and treatment response was monitored clinically and with MRI. Anticoagulation therapy stopped progression of the neurological deficit and led to improvement of MRI findings. This report further supports the existence of subacute brainstem angioencephalopathy as a characteristic disease entity and gives insight into possible therapeutic approach with anticoagulation treatment.
Habek
Mario
M
University Department of Neurology, Zagreb School of Medicine and University Hospital Center, Zagreb, Croatia. mhabek@mef.hr
Supe
Svjetlana
S
Poljaković
Zdravka
Z
Gelpi
Ellen
E
Alesch
François
F
Ozretić
David
D
Brinar
Vesna V
VV
D000328:Adult; D000925:Anticoagulants / Q000627:therapeutic use*; D001933:Brain Stem / Q000473:pathology*; D002550:Cerebral Veins / Q000473:pathology*; D002561:Cerebrovascular Disorders / Q000188:drug therapy* / Q000473:pathology*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male
D000925:Anticoagulants