Table 3.
Case | Age, yr | Sex | Histology | Duration of NS, yr | Albumin, g/l | Proteinuria | Steroid use (Y/N) | Diuretic use (Y/N) | Presentation | Cerebral vascular territory involved | TOAST | Cardiovascular risk factors | Thrombophilia |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1 (our case) |
43 | F | MN | 3 | 13 | 0.828 g/mmol | Y | Y | Left hemiplegia and hemianesthesia, hemianopsia, heminegligence | Right MCA | LAA | Smoking, HT, DLP | Fg ↑ |
215 | 55 | M | MN | 0.125 | 12 | 18 g/24 h | Y | Y | Death | Multiple | Possibly CE | Mild ASO | Fg ↑ |
316 | 23 | M | MCD | 0 | 7 | 10 g/24 h | N | N | Left hemiplegia, lower left limb ischemia | Right MCA | LAA | Alcohol | Fg ↑, AT III ↓, prot C ↓ |
417 | 36 | M | MPGN | 0 | 24 | 11.4 g/24 h | N | N | Right hemiparesis and hemianesthesia, global aphasia, right hemianopsia | Left MCA | LAA | — | Fg ↑, prot S ↓ |
517 | 34 | M | MN | 0 | 27 | 6.6 g/24 h | N | N | Left hemiparesis and hemianesthesia, dysarthria, left homonymous inferior visual field deficit | Right MCA | LAA | Smoking, cocaine | Fg ↑ |
618 | 28 | M | MN | 6 | 16 | 7.9 g/24 h | Y | N | Right hemiparesis, headache | Left basal ganglia and internal capsule | LAA | Smoking | Fg ↑, AT III ↓ |
718 | 21 | M | MCD | 1.5 | 15 | 5.6 g/24 h | Y | N | Loss of consciousness, aphasia | Left MCA | CE | Smoking | AT III ↓, prot C ↓ |
819 | 20 | M | MCD | 18 | 14 | >300 mg/dl | Y | N | Lethargy, left hemiparesia and hemianesthesis, hemineglect, left hemianopsia | Right MCA | LAA | — | Fg ↑, AT III ↓, prot S ↓ |
920 | 51 | M | No biopsy | 0 | 20 | 4.6 g/l | N | N | Headache | Right MCA | UND | Smoking | Fg ↑, ATII ↓ |
1021 | 37 | F | MN | 0 | 26 | NR | N | N | Right hemiparesis, expressive aphasia, right upper extremity ischemia | Right MCA | LAA | Obesity, smoking, HT | Fg ↑, prot S ↓ |
1122 | 39 | F | MPGN | 2 | 20 | 3.4 g/24 h | Y | Y | Left hemiparesis, dysarthria | Periventrical area of the right frontal lobe | UND | — | N Fg, prot S ↓ |
1223 | 29 | F | MPGN | 15 | 32 | 2.2 g/24 h | N | N | Left hemiparesis and hemianesthesia, aphasia | Right MCA, watershed right ACA-MCA | LAA | HT, DLP | Fg ↑ |
1324 | 36 | F | Db | NR | 11 | 2.8 g/24 h | NR | NR | Convulsions, left hemiplegia | Multiple | CE | Db | AT III ↓ |
1425 | 59 | M | MN | 0.038 | 17 | 12.0 g/24 h | Y | N | Convulsions | Bilateral occipital lobes | LAA | — | AT III ↓, |
1526 | 35 | F | IgA | 5 | 11 | 6.8 g/24 h | N | N | Right hemiparesis, dysarthria, dysphagia | Left MCA | Possibly CE | — | AT III ↓, prot C ↓ |
1627 | 53 | M | FSGS | 0.0625 | 12 | 7.8 g/24 h | Y | Y | Left hemiparesis, left hemianesthesia, | Right MCA | LAA | Smoking, ROH, cirrhosis | Prot S ↓ |
1728 | 28 | F | No biopsy | 0 | 26 | 3.5 g/24 h | N | N | Right hemiparesis, | Left MCA | UND | Smoking | — |
1829 | 61 | M | MN | 0 | 25 | 3.9 g/24 h | N | N | Left hemianesthesia | None identified on imaging | TIA | HT | — |
1930 | 72 | M | LCDD | 0 | 18 | 12.0 g/24 h | N | Y | Right hemiparesis, expressive aphasia | Left frontal lobe | UND | — | — |
2031 | 68 | M | MCD | 0 | 16 | 14.0 g/24 h | N | N | Left hemiparesis, left paresthesia, aphasia | Right MCA and PCA | Possibly CE | HT | — |
2123 | 71 | M | MN | 0 | 20 | 21.0 g/24 h | Y | N | Aphasia, right facial paralysis | Multiple | SAO | HT | Fg ↑, AT III ↓, prot S ↓ |
2233 | 35 | M | MN | 0 | 18 | 7.5 g/g | N | N | Right hemiparesis, dysarthria | Left MCA | LAA | Smoking | Fg ↑ |
ACA, anterior cerebral artery; ASO, antistreptolysin O; AT III, antithrombin III; CE, cardioembolic; Db, diabetic nephropathy; DLP, dyslipidemia; DLPx, F, female; Fg, fibrinogen; FSGS, focal and segmental glomerulosclerosis; HT, hypertension; LAA, large artery atherosclerosis; LCDD, light chain deposition disease; M, male; MCA, middle cerebral artery; MCD, minimal changes disease; MN, membranous nephropathy; MPGN, membranoproliferative glomerulonephritis; N, no; NI, not thoroughly investigated; NR, not reported; NS, nephrotic syndrome; PCA, posterior cerebral artery; prot C, protein C; prot S, protein S; ROH, SAO, small artery occlusion; TIA, transient ischemic attack; TOAST, Trial of Org 101172 in Acute Stroke TreatmenT; UND, undetermined; Y, yes.