Acute Pontine Infarct in a 16-Year-Old Man with Acute Posterior Multifocal Placoid Pigment Epitheliopathy. A Case Report

A 16-year-old boy recently diagnosed with acute posterior multifocal placoid pigment epitheliopathy (APMPPE) developed an acute infarct in the left pontine region. No relevant abnormalities were found in the brain and cervical angiography, echocardiography, cerebrospinal fluid, and blood samples. Fu...

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Bibliographic Details
Published in:Journal of stroke and cerebrovascular diseases 2009-03, Vol.18 (2), p.164-166
Main Authors: Jaramillo, Arturo, MD, Gaete, Germán, MD, Romero, Pablo, MD, Orellana, Patricia, MD, Illanes, Sergio, MD
Format: Article
Language:English
Subjects:
Acute Disease - therapy
Adolescent
Basilar Artery - physiopathology
Brain Stem Infarctions - complications
Brain Stem Infarctions - drug therapy
Brain Stem Infarctions - pathology
Cardiovascular
Diffusion Magnetic Resonance Imaging
Fluorescein Angiography
Humans
Male
Neurology
Ophthalmoscopes
Pons - blood supply
Pons - pathology
Prednisone - therapeutic use
Retinal Diseases - complications
Retinal Diseases - drug therapy
Retinal Diseases - pathology
Retinal Pigment Epithelium - pathology
Treatment Outcome
Vertebrobasilar Insufficiency - complications
Vertebrobasilar Insufficiency - pathology
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Summary:A 16-year-old boy recently diagnosed with acute posterior multifocal placoid pigment epitheliopathy (APMPPE) developed an acute infarct in the left pontine region. No relevant abnormalities were found in the brain and cervical angiography, echocardiography, cerebrospinal fluid, and blood samples. Funduscopically, lesions were multiple circumscribed, creamy yellow patches, flat lesions at the level of the retinal pigment epithelium, and the fluorescence angiography confirmed an APMPPE. All visual and neurological symptoms reverted completely after use of steroid. Our patient is the youngest patient with APMPPE and stroke described so far, being the common age presentation between 20 to 40 years.
ISSN:1052-3057
1532-8511
DOI:10.1016/j.jstrokecerebrovasdis.2008.08.004