Soonchunhyang Med Sci.  2017 Jun;23(1):46-48. 10.0000/sms.2017.23.1.46.

Brain Stem Infarction Due to Basilar Artery Dissection in a Patient with a Parotitis and Hyperhomocysteinemia

• Ahn BJ

• KMID: 2404877
• DOI: http://doi.org/10.0000/sms.2017.23.1.46

Abstract

A 29-year-old man developed sudden dysarthria and right-sided weakness 3 days before admission to hospital. He was diagnosed with parotitis in the emergency room of Soonchunhyang University Gumi Hospital. The plasma levels of homocysteine were elevated (30.48 mg/dL). A brain magnetic resonance imaging scan revealed a high signal intensity lesion in the left paramedian pons and computed tomography angiography showed a marked narrowing of the mid-basilar artery. We report a rare case of spontaneous basilar artery dissection caused by a recent infection and hyperhomocysteinemia.

Keyword

Basilar artery dissection; Parotitis; Hyperhomocysteinemi

MeSH Terms

Adult
Angiography
Arteries
Basilar Artery*
Brain Stem Infarctions*
Brain Stem*
Brain*
Dysarthria
Emergency Service, Hospital
Gyeongsangbuk-do
Homocysteine
Humans
Hyperhomocysteinemia*
Magnetic Resonance Imaging
Parotitis*
Plasma
Pons
Homocysteine