Transient ischemic attack of the brain as the first link in a decompensatory event chain of cerebro- and cardiovascular incidents in a 68-year-old female patient with radiological features of Fahr's syndrome – a case report
| Main Authors: | Kulczyński, Marcin, Marciniec, Michał, Tomaszewski, Mateusz, Widłak, Karolina, Papuć, Ewa, Rejdak, Konrad |
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| Format: | Article |
| Terbitan: |
, 2018
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| Online Access: |
https://zenodo.org/record/1344522 |
Daftar Isi:
- Kulczyński Marcin, Marciniec Michał, Tomaszewski Mateusz, Widłak Karolina, Papuć Ewa, Rejdak Konrad. Transient ischemic attack of the brain as the first link in a decompensatory event chain of cerebro- and cardiovascular incidents in a 68-year-old female patient with radiological features of Fahr’s syndrome – a case report. Journal of Education, Health and Sport. 2018;8(7):535-540. eISNN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.1344522 http://ojs.ukw.edu.pl/index.php/johs/article/view/5798 https://pbn.nauka.gov.pl/sedno-webapp/works/873630 The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part b item 1223 (26/01/2017). 1223 Journal of Education, Health and Sport eissn 2391-8306 7 © The Authors 2018; This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author (s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non commercial license Share alike. (http://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 02.06.2018. Revised: 18.06.2018. Accepted: 31.07.2018. Transient ischemic attack of the brain as the first link in a decompensatory event chain of cerebro- and cardiovascular incidents in a 68-year-old female patient with radiological features of Fahr’s syndrome – a case report Marcin Kulczyński1*, Michał Marciniec2, Mateusz Tomaszewski3, Karolina Widłak4, Ewa Papuć1, Konrad Rejdak1 1Chair and Department of Neurology, Medical University of Lublin, Poland 2Department of Neurology, Independent Public Clinical Hospital No. 4 in Lublin, Poland 3Chair and Department of Pneumology, Oncology and Allergology, Medical University of Lublin, Poland 4Student Scientific Circle at the Department of Paediatric Haematology, Oncology and Transplantology, II Chair of Paediatrics, Medical University of Lublin, Poland *Corresponding author: Marcin Kulczyński ul. K. Jaczewskiego 8 20-954 Lublin, Poland tel. +48817244718 e-mail: mk.marcin.kulczynski@gmail.com ABSTRACT Introduction: Transient ischemic attack (TIA) is a reversible episode of neurologic deficit, that symptomatically can be similar to stroke, but lasts shorter than 24 hours and does not cause any radiological changes in brain images. TIA is a major risk factor for subsequent ischemic stroke. Fahr’s syndrom is a rare, genetically conditioned incidence of calcified deposits in basal ganglia and cerebral cortex. Case report: A 68-year-old female patient was admitted to the Department of Neurology due to an incident of left limbs weakness and left mouth angle drop. The symptoms lasted 5 minutes. The initial brain CT revealed no acute ischemic foci, although the radiologist found characteristic features of Fahr’s syndrome. Carotid ultrasound showed stenosis of right internal carotid artery. The patient experienced an ischemic stroke in 6th day from initial symptoms. 4 days later a myocardial infarction occurred as well. Discussion: TIA is a major prognostic factor for an ischemic stroke with the greatest risk of incidence in the first week after initial symptoms. Proper imaging diagnostics and prophylactic treatment with aspirin and statins should be administered. Patients after TIA incident should stay under watchful neurological supervision during the first 3 months after the attack. Keywords: Ischemic Attack, Transient; Stroke; Myocardial Infarction; Fahr’s Syndrome