Multiple Cerebrovascular Occlusion With Hypothyroidism: A Powerful Compensation

Yi Bao, Quanying Liu, Shihao Xu, Yuchen Wang, Xiaodong Liu, Guangjian Liu

Abstract


Cerebral vascular occlusion can often cause severe neurological deficits. This study aims to describe a case characterized by multiple large vessel occlusions with hypothyroidism and without clinical symptoms. The patient’s blood vessel condition, compensatory pathway and perfusion situation were understood through medical history inquiry, neurological physical examination, combined with blood lipid, blood glucose, electrocardiogram, transcranial Doppler (TCD), brain computed tomography (CT), cerebral angiography, cerebral perfusion imaging and other examinations. The main symptoms of the patient were dizziness and headache, with no symptoms of neurological function loss. Digital subtraction angiography (DSA) showed multiple large vessel occlusions in the head and neck: the initial part of the left internal carotid artery, the M1 segment of the left middle cerebral artery, the V2 segment of the right vertebral artery, and the V3 terminal segment of the left vertebral artery. According to CT perfusion (CTP) examination, the blood flow (BF) value of the left temporoparietal occipital lobe was lower than that of the contralateral side, the mean blood flow passage time value was increased, and the cerebral blood volume (BV) was slightly higher than that of the contralateral side. Cerebral vascular occlusion is affected by many factors, hypothyroidism can accelerate the process of atherosclerosis, and in severe cases multiple large vessel occlusions may occur. Powerful compensatory mechanisms can reduce the incidence of stroke.




J Med Cases. 2019;10(6):158-163
doi: https://doi.org/10.14740/jmc3303

Keywords


Cerebrovascular occlusion; Hypothyroidism; Compensation; DSA

Full Text: HTML PDF
 

Browse  Journals  

     

Journal of clinical Medicine Research

Journal of Endocrinology and Metabolism

Journal of Clinical Gynecology and Obstetrics

World Journal of Oncology

Gastroenterology Research

Journal of Hematology

Journal of Medical Cases

Journal of Current Surgery

Clinical Infection and Immunity

Cardiology Research

World Journal of Nephrology and Urology

Cellular and Molecular Medicine Research

Journal of Neurology Research

International Journal of Clinical Pediatrics

 

 

 

 

 

Journal of Medical Cases, monthly, ISSN 1923-4155 (print), 1923-4163 (online), published by Elmer Press Inc.            
The content of this site is intended for health care professionals.
This is an open-access journal distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License, which permits unrestricted
non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Creative Commons Attribution license (Attribution-NonCommercial 4.0 International CC-BY-NC 4.0)


This journal follows the International Committee of Medical Journal Editors (ICMJE) recommendations for manuscripts submitted to biomedical journals,
the Committee on Publication Ethics (COPE) guidelines, and the Principles of Transparency and Best Practice in Scholarly Publishing.

website: www.journalmc.org   editorial contact: editor@journalmc.org
Address: 9225 Leslie Street, Suite 201, Richmond Hill, Ontario, L4B 3H6, Canada

© Elmer Press Inc. All Rights Reserved.