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Multiple intracranial arterial stenoses in association with thyrotoxicosis: a case report
Meng-Han Tsai1, Teng-Yeow Tan, Yeh-Lin Kuo
1First Department of Neurology, Chang Gung Memorial Hospital, Kaohsiung, Taiwan.
Acta Neurologica Taiwanica
|July 29, 2006
Abstract:
A 26-year-old young man, had Graves' disease in hyperthyroid state, presented with frequent episodic transient left hemiparesis and mild slurred speech lasting for few minutes to 2 hours for one month. Infarction at posterior limb of right internal capsule was found on brain MRI. Angiography revealed multiple intracranial arteries stenoses around the circle of Willis. After treatment with propylthiouracil and aspirin, his thyroid function returned to normal and the patient remained free from stroke.
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