Open AccessHypereosinophilic Syndrome Presented as Acute Ischaemic Stroke and Raised Cardiac Enzymes
Author(s) -
Cheung CY,
Fu CL,
Li CS
Publication year - 2012
Publication title -
hong kong journal of emergency medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.145
H-Index - 12
eISSN - 2309-5407
pISSN - 1024-9079
DOI - 10.1177/102490791201900509
Subject(s) - hypereosinophilia , medicine , hypereosinophilic syndrome , cardiology , thrombus , prednisolone , endocardium , stroke (engine) , radiology , eosinophilia , mechanical engineering , engineering
The hypereosinophilic syndromes (HES) are a group of disorders marked by the sustained overproduction of eosinophils, resulting in multiple organ damage. We report a 55‐year‐old lady presented with sudden onset of left‐sided limb weakness and hypereosinophilia. Cerebral computerised tomography scan showed multiple small infarctions in bilateral corona radiata and right thalamus. A transesophageal echocardiogram revealed endomyocardial damage with mural thrombus suggesting Loeffler endocarditis. The multiple cerebral infarctions were probably due to cardiac thromboembolism. Treatment with prednisolone led to significant clinical improvement. This case illustrates hypereosinophilia should be considered in patients with multiple cerebral infarctions.