M Alain Babi
Duke University Hospital DUMC 2900 Durham, NC 27710,
Tanzania
Case Report
Bilateral Borderzone Infarcts in Hypereosinophilic Leukemia without
Proximal Vessel Stenosis
Author(s): M Alain Babi, Salman Al Jerdi and Mark GormanM Alain Babi, Salman Al Jerdi and Mark Gorman
Objective: We describe border-zone territory infarctions without evident hypotension or vascular stenoses in a case of hypereosinophilic syndrome (HES). We review the spectrum of neurological changes associated with HES and explore about its relationship with the observed infarction pattern.
Methods: This is a case report. A PubMed literature search was conducted searching clinico-radiographic findings of neurological complications associated with HES.
Results: A previously healthy 47 year old man presented with progressive encephalopathy, weight loss and general malaise over three weeks. MRI head revealed bilateral hemispheric watershed infarcts at the junction of the anterior and posterior circulations. No intracranial or extracranial vascular stenoses were found and cardiac evaluation via transesophageal echocardiogra.. View More»
