Hypereosinophilia with multiple thromboembolic cerebral infarcts and focal intracerebral hemorrhage

嗜酸性粒细胞增多症伴多发性血栓栓塞性脑梗死和局灶性脑出血

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Abstract

We report a case of hypereosinophilia causing multiple areas of cerebral infarcts. A 52-year-old Korean man presented with dysarthria and weakness in both arms. A brain MRI revealed multiple acute infarcts in the distal border zone with focal intracerebral hemorrhage, whereas a cerebral angiogram was not remarkable. The eosinophil count was 5,500/microL and was accompanied by elevated cardiac enzyme levels. The pattern of cerebral infarcts and laboratory results suggest a thromboembolic infarction associated with hypereosinophilia.

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