Honeycomb-like appearance in the brain of a former boxer with hyperhomocysteinemia, severe carotid disease and hemorrhagic stroke

Felix, Ana C.; Fernandes, Nadia; Guilherme, Patricia; Nzwalo, Hipólito

http://hdl.handle.net/10400.1/9778

Use this identifier to reference this record.

Name:	Description:	Size:	Format:
9778.pdf		1.01 MB	Adobe PDF	Download

Send Feedback

Authors

Abstract(s)

Dear editor, Brain perivascular spaces (PVSs) or Virchow-Robin spaces are pial-lined, interstitial ﬂuid-ﬁlled structures surrounding the arteries entering brain parenchyma.1 Enlarged PVSs are radiological manifestation of posttraumatic encephalopathy2 and a common biomarker of small vessel disease (SVD).3 Exuberant forms of PVSs are rarely reported. A 55-year-old male truck driver, retired professional boxer with a history of severe untreated hypertension, obesity, brainstem lacunar stroke, dyslipidemia, heavy smoking, right sided severe internal carotid stenosis (SICS) (90–99%) and hyperhomocysteinemia was brought to the emergency room because of sudden onset of right hemiparesis followed by focal complex hemiconvulsion