3112 Cerebral inflammation secondary to polymer embolization following endovascular clot retrieval for ischaemic stroke in a young woman with autoimmune comorbidities

with alpha-synucleinopathy, 46 with autoimmune autonomic disorders, and 194 with peripheral neuropathy.Results Of 642 patients, 477 had nOH on AST or HUT (74.3%).Of these, 8.6% were identified only on HUT and 4% only on AST.Delayed OH was identified in 8.5% of cases on AST and in 4.5% of cases on HUT.Delayed OH was more commonly identified in patients with peripheral neuropathy and less commonly seen in patients with AAD.Patients with dOH had lower supine blood pressure (BP), smaller drop in last BP, lower orthostatic intolerance ratio, and greater rise in noradrenaline levels on upright tilt.Conclusion HUT and AST are complementary techniques in the recognition of nOH in patients with autonomic failure.Prolonged orthostatic challenges are useful for the detection of dOH, which appears to reflect milder sympathetic dysfunction in patients with autonomic failure.

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Published
2024-08-01
DOI
https://doi.org/10.1136/bmjno-2024-anzan.101
Primary Topic
Cerebrovascular and Carotid Artery Diseases
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article
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3112 Cerebral inflammation secondary to polymer embolization following endovascular clot retrieval for ischaemic stroke in a young woman with autoimmune comorbidities

Bernard Hudson, Joshua R. Friedman, Eleanor Dunlop, Muhammad Usman et al.
Cerebrovascular and Carotid Artery Diseases
article

3112 Cerebral inflammation secondary to polymer embolization following endovascular clot retrieval for ischaemic stroke in a young woman with autoimmune comorbidities

Bernard Hudson, Joshua R. Friedman, Eleanor Dunlop, Muhammad Usman, Alice Powell, Najwa Mohd Khalil, Mariya Hamid, David Brazier, Suran L. Fernando, Scott Evers, Hwei Choo Soh, Thomas T Montague
article en

Abstract

with alpha-synucleinopathy, 46 with autoimmune autonomic disorders, and 194 with peripheral neuropathy.Results Of 642 patients, 477 had nOH on AST or HUT (74.3%).Of these, 8.6% were identified only on HUT and 4% only on AST.Delayed OH was identified in 8.5% of cases on AST and in 4.5% of cases on HUT.Delayed OH was more commonly identified in patients with peripheral neuropathy and less commonly seen in patients with AAD.Patients with dOH had lower supine blood pressure (BP), smaller drop in last BP, lower orthostatic intolerance ratio, and greater rise in noradrenaline levels on upright tilt.Conclusion HUT and AST are complementary techniques in the recognition of nOH in patients with autonomic failure.Prolonged orthostatic challenges are useful for the detection of dOH, which appears to reflect milder sympathetic dysfunction in patients with autonomic failure.

Royal North Shore Hospital (AU)
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Cerebrovascular and Carotid Artery Diseases
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