title: Severe hyperthermia caused by four-vessel occlusion of main cerebral arteries.
abstract: We present the case of a comatose patient with acute large infarction of posterior cerebral and cerebellar areas and severe hyperthermia (max. 40.4 degrees C). Angiography demonstrated four-vessel occlusion of the main cerebral arteries, suggesting the possibility that both internal carotid and left vertebral arteries were already occluded and he became unconscious following additional occlusion of the right vertebral artery. Autopsy findings revealed bilateral ischemic damage of the hypothalamus in addition to the above infarct areas. Sudden ischemic involvement of both hypothalamic regions may have caused the extremely high fever in this case.
authors.affiliation: Department of Cerebrovascular Medicine, National Cardiovascular Center, Suita. kona@hsp.ncvc.go.jp
authors.forename: Kuni
authors.initials: K
authors.lastname: Konaka
authors.forename: Kotaro
authors.initials: K
authors.lastname: Miyashita
authors.forename: Hatsue
authors.initials: H
authors.lastname: Ishibashi-Ueda
authors.forename: Hiroaki
authors.initials: H
authors.lastname: Naritomi
mesh_terms: D000368:Aged; D002533:Cerebral Angiography; D002536:Cerebral Arteries / Q000000981:diagnostic imaging*; D002561:Cerebrovascular Disorders / Q000150:complications*; D005334:Fever / Q000209:etiology*; D006801:Humans; D007031:Hypothalamus / Q000098:blood supply* / Q000473:pathology; D008279:Magnetic Resonance Imaging; D008297:Male; D009336:Necrosis / Q000209:etiology / Q000473:pathology; D014715:Vertebrobasilar Insufficiency / Q000150:complications* / Q000000981:diagnostic imaging*