22. European Stroke Conference 176 Interesting and challenging cases Leaving a Bad Taste: A Case Report of Dysguesia Post Stroke C.A. Holmes1, M. Cheesman2 North Bristol NHS Trust Department of Elderly Care, Bristol, UNITED KINGDOM1, North Bristol NHS Trust department of Elderly Care, Bristol, UNITED KINGDOM2 Background: Dysgeusia (pronounced dys –gu sia) is defined as a disturbance in taste. People often describe a horrible metallic taste, salty, foul taste that can be temporary or permanent depending on the on the cause. We discuss the case of an 81year old lady who presented to our outpatient clinic suffering from dysgeusia with anorexia, weight loss, anxiety and depression. The disturbance in taste occurred immediately following a left frontal infarct over 12 months previously. She was diagnosed and treated for depression. Her symptom of disturbed taste improved only slightly. A diagnosis of dys-geusia secondary to the frontal infarct complicated by depression was made. Methods: A review of the literature was made using pubmed/internet search engines. Key words: Dysguesia, Stroke. Conclusion: Dysgeusia can be a debilitating symptom and is probably under recognised post stroke. There are limited case reports and studies in this area. This case highlights how it can lead to significant anx-iety and depression although depression itself can contribute to dysgeusia and should be treated. More research is required into the prevalence of dysguesia post stroke and effective management strategies to help improve quality of life. 376 © 2013 S. Karger AG, Basel Scientific Programme 177 Interesting and challenging cases A case of unilateral adult moya moya disease with multiple vascular risk factors G. Krastev1, J. Haring2, M. Mako3, L. Horváthová4 Department of Neurology, Faculty Hospital Trnava, Trnava, SLOVAKIA1, Department of Neu-rology, Faculty Hospital Trnava, Trnava, SLOVAKIA2, Department of Neurology, Faculty Hospital Trnava, Trnava, SLOVAKIA3, Department of Neurology, Faculty Hospital Trnava, Trnava, SLOVA-KIA4 Moya-moya is extremely rare cause of stroke in western hemisphere. The pathology of the disease is slowly progressive narrowing and occlusion predominantly in terminal intracranial part of internal carotid artery or large vessels of the circle of Willis. The authors present case of 48-years-old wom-an with reccurent ischeamic strokes in the right cerebral hemisphere within few years. The patient had more risk factors – diabetes mellitus, arterial hypertension, obesity, smoking, inherited throm-bophilia and foramen ovale apertum with right-to-left shunt enclosed with occluder. Despite of good control of risk factors patient suffered another stroke. With the help of CTAG and MRAG unilateral moya-moya disease was diagnosed confirming multiple severe narrowing of right internal carot-id artery, medial cerebral artery and anterior cerebral artery with collaterals typical for moya-moya disease. According to SPECT hypoperfusion of the entire right cerebral hemisphere was present. Through that the presence of acquired and inherited risk factors authors consider moya-moya dis-ease as principal cause of strokes and assume that there is a likelihood of connection between the risk factors and „triggering“ of vascular pathology typical for moya-moya disease. Key words – moya-moya disease, stroke
Karger_ESC London_2013
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