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KMID : 0980720110300010131
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Keimyung Medical Journal
2011 Volume.30 No. 1 p.131 ~ p.135
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Concurrence of Cerebral and Renal Infarctions Complicating Atrial Fibrillation
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Yi Hyon-Ah
Lee Hyung
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Abstract
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Although renal infarction causes irreversible ischemic damage, it is difficult to be detected due to rare occurrence and non-specific clinical manifestations. A 73-year-old woman with atrial fibrillation presented with simultaneously developed right hemiparesis and right flank pain lasting 3.5 hours. Brain magnetic resonance imaging revealed left cerebral infarction suggesting embolic causes and we started intravenous anti-coagulation with heparin. We performed abdominal
computed tomography to know the cause of persistent flank pain, and the patient was diagnosed as having acute renal infarction. Clinicians should be aware of the possibility of co-occurrence of the cerebral and renal infarctions, especially when patients had acute flank pain in addition to neurological signs or symptoms.
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KEYWORD
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Atrial fibrillation, Cerebral infarction, Renal infarction
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