Acute pontine infarct in a 16-year-old man with acute posterior multifocal placoid pigment epitheliopathy. A case report.
A 16-year-old boy recently diagnosed with acute posterior multifocal placoid pigment epitheliopathy (APMPPE) developed an acute infarct in the left pontine region. No relevant abnormalities were found in the brain and cervical angiography, echocardiography, cerebrospinal fluid, and blood samples. Funduscopically, lesions were multiple circumscribed, creamy yellow patches, flat lesions at the level of the retinal pigment epithelium, and the fluorescence angiography confirmed an APMPPE. All visual and neurological symptoms reverted completely after use of steroid. Our patient is the youngest patient with APMPPE and stroke described so far, being the common age presentation between 20 to 40 years.
Jaramillo
Arturo
A
Department of Neurology and Neurosurgery, Clinical Hospital, University of Chile, Santiago, Chile. arturo.jaramillo@gmail.com
Gaete
Germán
G
Romero
Pablo
P
Orellana
Patricia
P
Illanes
Sergio
S
D000208:Acute Disease / Q000628:therapy; D000293:Adolescent; D001488:Basilar Artery / Q000503:physiopathology; D020526:Brain Stem Infarctions / Q000150:complications* / Q000188:drug therapy / Q000473:pathology*; D038524:Diffusion Magnetic Resonance Imaging; D005451:Fluorescein Angiography; D006801:Humans; D008297:Male; D019721:Ophthalmoscopes; D011149:Pons / Q000098:blood supply / Q000473:pathology*; D011241:Prednisone / Q000627:therapeutic use; D012164:Retinal Diseases / Q000150:complications* / Q000188:drug therapy / Q000473:pathology*; D055213:Retinal Pigment Epithelium / Q000473:pathology*; D016896:Treatment Outcome; D014715:Vertebrobasilar Insufficiency / Q000150:complications / Q000473:pathology
D011241:Prednisone