Acute Ischemic Stroke Due to Spontaneous Internal Carotid Artery Dissection in a Human Leukocyte Antigen (HLA) B27 Young Male

Carotid artery dissection is a significant cause of stroke in young patients. Here, we report a 33-year-old male who presented with right homonymous hemianopia and paresthesia of the right side of the body. Magnetic resonance imaging (MRI) of the brain revealed an acute infarct in the left parieto-o...

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Autores principales: Huq, Muhammad Rezeul, Kabir, Humayun, Chowdhury, Md. Ismail, Kawnayn, Ghulam
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2022
Materias:
Neurology
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8989624/
https://www.ncbi.nlm.nih.gov/pubmed/35411276
http://dx.doi.org/10.7759/cureus.22963
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author Huq, Muhammad Rezeul
Kabir, Humayun
Chowdhury, Md. Ismail
Kawnayn, Ghulam
author_facet Huq, Muhammad Rezeul
Kabir, Humayun
Chowdhury, Md. Ismail
Kawnayn, Ghulam
author_sort Huq, Muhammad Rezeul
collection PubMed
description Carotid artery dissection is a significant cause of stroke in young patients. Here, we report a 33-year-old male who presented with right homonymous hemianopia and paresthesia of the right side of the body. Magnetic resonance imaging (MRI) of the brain revealed an acute infarct in the left parieto-occipital region. Magnetic resonance angiography (MRA) and duplex ultrasonography (USG) of the neck vessels suggested the left internal carotid artery dissection as the underlying cause. The patient was a known human leukocyte antigen (HLA) B27 and had a history of a previous attack of uveitis. This case report will raise awareness regarding the possible association of HLA B27 with the dissection of neck vessels.
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spelling pubmed-89896242022-04-10 Acute Ischemic Stroke Due to Spontaneous Internal Carotid Artery Dissection in a Human Leukocyte Antigen (HLA) B27 Young Male Huq, Muhammad Rezeul Kabir, Humayun Chowdhury, Md. Ismail Kawnayn, Ghulam Cureus Neurology Carotid artery dissection is a significant cause of stroke in young patients. Here, we report a 33-year-old male who presented with right homonymous hemianopia and paresthesia of the right side of the body. Magnetic resonance imaging (MRI) of the brain revealed an acute infarct in the left parieto-occipital region. Magnetic resonance angiography (MRA) and duplex ultrasonography (USG) of the neck vessels suggested the left internal carotid artery dissection as the underlying cause. The patient was a known human leukocyte antigen (HLA) B27 and had a history of a previous attack of uveitis. This case report will raise awareness regarding the possible association of HLA B27 with the dissection of neck vessels. Cureus 2022-03-08 /pmc/articles/PMC8989624/ /pubmed/35411276 http://dx.doi.org/10.7759/cureus.22963 Text en Copyright © 2022, Huq et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Neurology
Huq, Muhammad Rezeul
Kabir, Humayun
Chowdhury, Md. Ismail
Kawnayn, Ghulam
Acute Ischemic Stroke Due to Spontaneous Internal Carotid Artery Dissection in a Human Leukocyte Antigen (HLA) B27 Young Male
title Acute Ischemic Stroke Due to Spontaneous Internal Carotid Artery Dissection in a Human Leukocyte Antigen (HLA) B27 Young Male
title_full Acute Ischemic Stroke Due to Spontaneous Internal Carotid Artery Dissection in a Human Leukocyte Antigen (HLA) B27 Young Male
title_fullStr Acute Ischemic Stroke Due to Spontaneous Internal Carotid Artery Dissection in a Human Leukocyte Antigen (HLA) B27 Young Male
title_full_unstemmed Acute Ischemic Stroke Due to Spontaneous Internal Carotid Artery Dissection in a Human Leukocyte Antigen (HLA) B27 Young Male
title_short Acute Ischemic Stroke Due to Spontaneous Internal Carotid Artery Dissection in a Human Leukocyte Antigen (HLA) B27 Young Male
title_sort acute ischemic stroke due to spontaneous internal carotid artery dissection in a human leukocyte antigen (hla) b27 young male
topic Neurology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8989624/
https://www.ncbi.nlm.nih.gov/pubmed/35411276
http://dx.doi.org/10.7759/cureus.22963
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