title: Venous infarction mimicking top of basilar syndrome; An uncommon complication of adult influenza infection.
abstract: Influenza infection increases the risk of ischemic stroke. Here, we represent a case of a 32year-old female who presented with acutely developed altered mental status after influenza A infection. The clinical manifestation and initial lesion on brain DWI mimicked top of basilar syndrome, but without an arterial occlusion or stenosis. Follow-up neuro imaging analysis suggested cerebral venous infarction. It is valuable to report this case of venous infarction in a healthy young adult, as an uncommon complication of adult influenza infection.
authors.affiliation: Department of Medicine, Graduate School, Kyung Hee University, Seoul, South Korea.
authors.forename: Soo Hyun
authors.initials: SH
authors.lastname: Cho
authors.affiliation: Department of Radiology, Kyung Hee University College of Medicine, Kyung Hee University Hospital, Seoul, South Korea.
authors.forename: Kyung Mi
authors.initials: KM
authors.lastname: Lee
authors.affiliation: Department of Neurology, Kyung Hee University College of Medicine, Kyung Hee University Hospital, Seoul, South Korea.
authors.forename: Bum Joon
authors.initials: BJ
authors.lastname: Kim
authors.affiliation: Department of Neurology, Kyung Hee University College of Medicine, Kyung Hee University Hospital, Seoul, South Korea.
authors.forename: Jae Hong
authors.initials: JH
authors.lastname: Yi
authors.affiliation: Department of Neurology, Kyung Hee University College of Medicine, Kyung Hee University Hospital, Seoul, South Korea.
authors.forename: Kyung Chul
authors.initials: KC
authors.lastname: Noh
authors.affiliation: Department of Radiology, Kyung Hee University College of Medicine, Kyung Hee University Hospital, Seoul, South Korea.
authors.forename: Eui Jong
authors.initials: EJ
authors.lastname: Kim
authors.affiliation: Department of Neurology, Kyung Hee University Hospital at Gangdong, Kyung Hee University School of Medicine, Seoul, South Korea.
authors.forename: Hak Young
authors.initials: HY
authors.lastname: Rhee
authors.affiliation: Department of Neurology, Kyung Hee University College of Medicine, Kyung Hee University Hospital, Seoul, South Korea. Electronic address: kcpark@khu.co.kr.
authors.forename: Key-Chung
authors.initials: KC
authors.lastname: Park
mesh_terms: D000328:Adult; D002544:Cerebral Infarction / Q000000981:diagnostic imaging* / Q000209:etiology; D002550:Cerebral Veins / Q000000981:diagnostic imaging*; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007251:Influenza, Human / Q000150:complications*; D002532:Intracranial Aneurysm / Q000000981:diagnostic imaging* / Q000209:etiology; D008279:Magnetic Resonance Imaging; D013927:Thrombosis / Q000000981:diagnostic imaging* / Q000209:etiology
keywords: Cerebral venous thrombosis; Influenza A infection; Magnetic resonance imaging; Neurological complication; Venous infarction