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KMID : 0359720180360040350
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Journal of the Korean Neurological Association
2018 Volume.36 No. 4 p.350 ~ p.353
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Ischemic Stroke with Cerebral Vasculopathy in POEMS Syndrome
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Kang Sung-Woo
Choi Bo-Kyu
Han Hee-Jo
Cho Soo-Mi
Cha Ji-Hoon
Nam Hyo-Suk
Heo Ji-Hoe
Kim Young-Dae
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Abstract
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Ischemic stroke caused by the cerebral vasculopathy is a rare complication of polyneuropathy, organomegaly, endocrinopathy, monoclonal gammopathy, and skin changes (POEMS) syndrome. We present a case of recurrent ischemic strokes caused by cerebral vasculopathy in a patient with POEMS syndrome. A 34-year-old man presented with gait disturbance and dizziness. Brain magnetic resonance imaging demonstrated acute ischemic stroke in the middle cerebral artery-anterior cerebral artery (MCA-ACA) border zones of bilateral hemispheres. Repeated angiographic studies showed progressive worsening of the left distal internal carotid artery, ACA, and MCA stenoses, along with sustained steno-occlusion of right MCA.
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KEYWORD
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POEMS syndrome, Vascular disease, Stroke
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