Multiple cerebral arterial occlusions related to Mycoplasma pneumoniae infection

Neurol Sci. 2013 Apr;34(4):565-8. doi: 10.1007/s10072-012-1178-7. Epub 2012 Sep 2.

Abstract

We report the case of a 33-year-old man with a brainstem infarction due to concomitant occlusions in the left internal carotid, both vertebral, and basilar arteries. The patient had experienced a severe Mycoplasma pneumoniae infection about 10 months prior to symptom onset, and his Mycoplasma antibody titre was positive when the stroke occurred. Despite performing meticulous neurological, vascular, and medical evaluations, we were unable to detect other possible causes of the stroke. Therefore, the multiple occlusions in the major cerebral arteries of our patient were concluded to be related to M. pneumoniae infection.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Anti-Bacterial Agents / therapeutic use
  • Brain Stem Infarctions / etiology*
  • Brain Stem Infarctions / microbiology*
  • Cerebral Small Vessel Diseases
  • Cerebrovascular Disorders / etiology*
  • Cerebrovascular Disorders / microbiology*
  • Diffusion Magnetic Resonance Imaging
  • Humans
  • Male
  • Mycoplasma Infections / complications*
  • Mycoplasma Infections / drug therapy
  • Mycoplasma pneumoniae / pathogenicity

Substances

  • Anti-Bacterial Agents

Supplementary concepts

  • Cerebral Angiopathy, Dysphoric