PT  - JOURNAL ARTICLE
AU  - Andreux, F
AU  - Marro, B
AU  - El Khoury, N
AU  - Seilhean, D
AU  - Alamowitch, S
TI  - Reversible encephalopathy associated with cholesterol embolism syndrome: magnetic resonance imaging and pathological findings
AID  - 10.1136/jnnp.2006.099770
DP  - 2007 Feb 01
TA  - Journal of Neurology, Neurosurgery & Psychiatry
PG  - 180--182
VI  - 78
IP  - 2
4099  - http://jnnp.bmj.com/content/78/2/180.short
4100  - http://jnnp.bmj.com/content/78/2/180.full
SO  - J Neurol Neurosurg Psychiatry2007 Feb 01; 78
AB  - We describe a patient found to have acute diffuse and reversible encephalopathy on magnetic resonance imaging (MRI) associated with cholesterol emboli syndrome (CES). The initial MRI showed extensive white matter, basal ganglia and cortical damage without evidence of brain infarction. Dramatic clinical and MRI improvement was observed with corticosteroids. Pathologically, cholesterol crystal emboli were found in the lumen of skin and brain arteries and were associated with varying degrees of inflammation of the arteriole wall. This case suggests that CES may be responsible for extensive, acute and reversible encephalopathy underlined by an inflammation of brain arteries.