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- Title
Cerebral watershed infarctions as a presentation of idiopathic hypereosinophilic syndrome: a case report.
- Authors
Wang, Xinyu; Hou, Xunyao; Lv, Renjun; Chen, Jian; Zhang, Feng; Yin, Qingqing
- Abstract
Background Idiopathic hypereosinophilic syndrome (IHES) is a syndrome with unexplained persistent elevation of eosinophils for more than 6 months, mainly involving the skin, cardiovascular, gastrointestinal, and nervous systems. Neurologic comorbidities of IHES include reports of cerebral infarction, encephalopathy, and peripheral nerve disorders, and about 35-65% of patients have some sort of neurological comorbidity [[6]]. The diagnosis of IHES requires to exclude significant peripheral eosinophilia from secondary (or reactive) causes of eosinophilia such as infection, hematologic malignancy, and vasculitis [[5]]. The patient showed the clinical presentation features such as prominent peripheral eosinophilia and central nervous system involvement, and vasculitis features and asthma are not obvious, so IHES is the more likely diagnosis.
- Subjects
HYPEREOSINOPHILIC syndrome; CEREBRAL infarction; SYMPTOMS; LEUCOCYTES; NEUROLOGIC examination; CHURG-Strauss syndrome
- Publication
Neurological Sciences, 2023, Vol 44, Issue 4, p1429
- ISSN
1590-1874
- Publication type
Article
- DOI
10.1007/s10072-022-06532-8