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Hypertensive microbleed as a transient ischemic attack mimic

Claus Z Simonsen1, Edith Nielsen

  • 1Department of Neurology, Aarhus University Hospital, Aarhus, Denmark.

Case Reports in Neurology
|March 26, 2013
PubMed

Insights

Cerebral microbleeds, often silent markers of small vessel disease, can cause transient focal symptoms. This case suggests microbleeds are not always silent and can mimic ischemic events.

Area of Science:

  • Neurology
  • Vascular Neurology
  • Neuroimaging

Background:

  • Cerebral microbleeds are increasingly recognized as indicators of small vessel disease.
  • They are associated with an elevated risk of cerebral hemorrhage.
  • Common etiologies include hypertension and amyloid deposition.

Observation:

  • A patient presented with a transient focal neurological symptom.
  • This symptom was attributed to an acute cerebral microbleed.

Findings:

  • The case demonstrates that cerebral microbleeds are not exclusively silent findings.
  • Acute microbleeds can manifest with noticeable neurological deficits.

Implications:

  • This challenges the assumption that all microbleeds are asymptomatic.
  • It suggests that acute microbleeds should be considered in the differential diagnosis of transient neurological events.
  • This broadens the understanding of potential causes for transient ischemic attack-like symptoms.
Keywords:
HypertensionMicrobleedStrokeTransient ischemic attack mimic

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