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Idiopathic basal ganglia calcification associated with cerebral micro-infarcts: a case report

Overview of attention for article published in BMC Neurology, April 2018
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Title
Idiopathic basal ganglia calcification associated with cerebral micro-infarcts: a case report
Published in
BMC Neurology, April 2018
DOI 10.1186/s12883-018-1048-x
Pubmed ID
Authors

Takuma Nishimoto, Fumiaki Oka, Hideyuki Ishihara, Mizuya Shinoyama, Michiyasu Suzuki

Abstract

Idiopathic basal ganglia calcification (IBGC) is a rare neurodegenerative disorder characterized by symmetric intracranial calcium deposition. We report a patient with IBGC associated with cerebral infarction due to impairment of cerebrovascular reactivity based on single-photon emission computed tomography (SPECT) with acetazolamide challenge. A 66-year-old male presented with right conjugate deviation, right hemiparesis and total aphasia due to a convulsive seizure. Brain computed tomography showed symmetric calcifications in the bilateral basal ganglia, thalamus, cerebellar dentate nuclei, which were consistent with IBGC. Diffusion-weighted brain magnetic resonance imaging showed multiple small infarctions in the bilateral cerebral subcortical area. In the search for the cause of cerebral infarction, SPECT with acetazolamide challenge revealed heterogeneous impairment of cerebrovascular reactivity in the whole brain, despite the absence of evidence for steno-occlusive changes in proximal arteries. Cerebrovascular insufficiency due to the lack of elasticity caused by microvascular calcification might have been one of the pathophysiological features of IBGC in this case. Thus, vascular calcification may cause cerebrovascular disturbance and could lead to ischemic stroke in patients with IBGC.

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Geographical breakdown

Country Count As %
Unknown 20 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 6 30%
Student > Bachelor 3 15%
Researcher 2 10%
Student > Ph. D. Student 2 10%
Professor 1 5%
Other 2 10%
Unknown 4 20%
Readers by discipline Count As %
Nursing and Health Professions 6 30%
Medicine and Dentistry 5 25%
Neuroscience 2 10%
Psychology 1 5%
Pharmacology, Toxicology and Pharmaceutical Science 1 5%
Other 1 5%
Unknown 4 20%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 20 April 2018.
All research outputs
#20,481,952
of 23,043,346 outputs
Outputs from BMC Neurology
#2,162
of 2,461 outputs
Outputs of similar age
#288,175
of 327,033 outputs
Outputs of similar age from BMC Neurology
#32
of 38 outputs
Altmetric has tracked 23,043,346 research outputs across all sources so far. This one is in the 1st percentile – i.e., 1% of other outputs scored the same or lower than it.
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