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Year : 2013  |  Volume : 23  |  Issue : 1  |  Page : 51-53

Cerebral infarction in patient with minimal change nephrotic syndrome

1 Department of Nephrology and Pathology, Gloucestershire Royal Hospital, Gloucester,GL1 3NN, England, United Kingdom
2 Department of Nephrology, Gloucestershire Royal Hospital, Gloucester,GL1 3NN, England, United Kingdom
3 Department of Pathology, Gloucestershire Royal Hospital, Gloucester,GL1 3NN, England, United Kingdom

Correspondence Address:
A Babu
Flat 3, 7, Downs cote park, Bristol, BS9 3JT
United Kingdom
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0971-4065.107203

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We report a case of 68-year-old Caucasian man who presented with cerebral infarcts secondary to arterial thrombosis associated with nephrotic syndrome. His initial presentation included edema of legs, left hemiparesis, and right-sided cerebellar signs. Investigations with computed tomography and magnetic resonance imaging of brain showed multiple cerebral infarcts in middle cerebral and posterior cerebral artery territory. Blood and urine investigations also showed impaired renal function, hypercholesterolemia, hypoalbuminaemia, and nephrotic range proteinuria. Renal biopsy showed minimal change disease. Cerebral infarcts were treated with antiplatelet agents and nephrotic syndrome was treated with high dose steroids. Patient responded well to the treatment and is all well till date.


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Indian Journal of Nephrology
Published by Wolters Kluwer - Medknow
Online since 20th Sept '07