Multiple Cerebral Arterial Stenosis Associated with Hepatitis B Virus Infection

作者：Kim Joon Tae; Park Man Seok^*; Nam Tai Seung; Choi Seong Min; Lee Seung Han; Kim Byeong Chae; Kim Myeong Kyu; Cho Ki Hyun

来源：Journal of Clinical Neurology, 2011, 7(1): 40-42.

DOI：10.3988/jcn.2011.7.1.40

• hepatitis B virus
• atherosclerosis
• reactivated HBV infection
• multiple cerebral arterial stenoses

Background There are conflicting findings regarding the association between hepatitis B (HB) virus (HBV) infection and atherosclerosis.
Case Report A 34-year-old man was admitted for transient dysarthria and facial palsy. Ten years previously he had been diagnosed with HBV infection and treated with lamivudine (100 mg/day). Reactivation of HBV was detected 6 months before this recent admission. Serologic tests revealed that he was positive for HB early antigen, HB surface antigen, and anti-FIB core. Brain magnetic resonance images were normal, but magnetic resonance angiograms revealed severe stenosis of the right middle cerebral artery, both external carotid arteries, and the basilar artery.
Conclusions This case report reveals that a young patient with reactivated HBV developed multiple arterial stenoses even though he had no risk factors for this disease. J Clin Neurol 2011;7:40-42

• 出版日期2011-3