KMID : 1130620110070010040
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Journal of Clinical Neurology 2011 Volume.7 No. 1 p.40 ~ p.42
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Multiple Cerebral Arterial Stenosis Associated with Hepatitis B Virus Infection
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Kim Joon-Tae
Park Man-Seok Nam Tai-Seung Choi Seong-Min Lee Seung-Han Kim Byeong-Chae Kim Myeong-Kyu Cho Ki-Hyun
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Abstract
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Background: There are conflicting findings regarding the association between hepatitis B (HB) virus (HBV) infection and atherosclerosis.
Case Report: A 34-year-old man was admitted for transient dysarthria and facial palsy. Ten years previously he had been diagnosed with HBV infection and treated with lamivudine (100 mg/day). Reactivation of HBV was detected 6 months before this recent admission. Serologic tests revealed that he was positive for HB early antigen, HB surface antigen, and anti-HB core. Brain magnetic resonance images were normal, but magnetic resonance angiograms revealed severe stenosis of the right middle cerebral artery, both external carotid arteries, and the basilar artery.
Conclusions: This case report reveals that a young patient with reactivated HBV developed multiple arterial stenoses even though he had no risk factors for this disease.
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KEYWORD
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hepatitis B virus, atherosclerosis, reactivated HBV infection, multiple cerebral arterial stenoses
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