Leukoaraiosis in a 54 Year Old Nigerian Male: A Case Report
European Journal of Clinical and Biomedical Sciences
Volume 6, Issue 5, October 2020, Pages: 100-103
Received: Aug. 17, 2020; Accepted: Aug. 31, 2020; Published: Sep. 23, 2020
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Authors
Edeh Samuel, Department of Internal Medicine, ESUT Teaching Hospital, Enugu, Nigeria
Okafor Umezurike, Department of Internal Medicine, ESUT Teaching Hospital, Enugu, Nigeria
Fintan Ekochin, Department of Internal Medicine, ESUT Teaching Hospital, Enugu, Nigeria
Nwafor Samuel, Department of Internal Medicine, ESUT Teaching Hospital, Enugu, Nigeria
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Abstract
Background: Leukoaraiosis is a chronic atherosclerotic disease with an abnormal periventricular and cerebral white matter disease. Hypertension and old age were reported as the most-important risk factor for leukoaraiosis. Other risk factors like diabetes mellitus, abdominal obesity, hyperlipidaemia, tobacco use, alcohol abuse and chronic kidney disease has been reported. The aim of this case report is to highlight leukoaraiosis in a 54 year old Nigerian who presented with neurological manifestation. Case information: we report a case of a 54 year old male with long standing hypertension presenting with features of leukoaraiosis. Result: the diagnosis was confirmed with MRI which revealed scattered nodular white matter T2 and FLAIR hyperintensities in the cerebral cortices with fluid restriction on diffusion weighted imaging. Conclusion: detailed identification and control of risk factors are the main stay of treatment for leukoaraiosis. Hypertension was managed via proper education on dietary and life style modifications, medications and regular follow-up in clinics.
Keywords
Leukoaraiosis, Old Age, Hypertension, Inflammation, Brain MRI, Antihypertensive Drugs
To cite this article
Edeh Samuel, Okafor Umezurike, Fintan Ekochin, Nwafor Samuel, Leukoaraiosis in a 54 Year Old Nigerian Male: A Case Report, European Journal of Clinical and Biomedical Sciences. Vol. 6, No. 5, 2020, pp. 100-103. doi: 10.11648/j.ejcbs.20200605.15
Copyright
Copyright © 2020 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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