Crohns disease with central nervous system vasculitis causing subarachnoid hemorrhage due to aneurysm and cerebral ischemic stroke
| Autor: | Sharad Ghatge, Pranav Modi, Shaileshkumar S Garge, Pooja D Vyas |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2014 |
| Předmět: |
medicine.medical_specialty
Subarachnoid hemorrhage extra-intestinal manifestations subarachnoid hemorrhage Infarction Case Report cerebral ischemia vasculitis lcsh:RC346-429 Aneurysm medicine.artery Internal medicine medicine cardiovascular diseases lcsh:Neurology. Diseases of the nervous system medicine.diagnostic_test business.industry Crohn′s disease medicine.disease Thrombosis Surgery Crohn's disease Angiography Cardiology cardiovascular system Neurology (clinical) Internal carotid artery Vasculitis business Cerebral vasculitis |
| Zdroj: | Annals of Indian Academy of Neurology, Vol 17, Iss 4, Pp 444-447 (2014) Annals of Indian Academy of Neurology |
| ISSN: | 1998-3549 0972-2327 |
| Popis: | Cerebral vasculitis secondary to Crohn's disease (CD) seems to be a very rare phenomenon. We report a 39-year-old male who presented with headache, vomiting, and left-sided weakness in the known case of CD. Cross-sectional imaging (computed tomography and magnetic resonance imaging,) showed right gangliocapsular acute infarct with supraclinoid cistern subarachnoid hemorrhage (SAH). Cerebral digital substraction angiography (DSA) showed dilatation and narrowing of right distal internal carotid artery (ICA). Left ICA was chronically occluded. His inflammatory markers were significantly raised. Imaging features are suggestive of cerebral vasculitis. Arterial and venous infarcts due to thrombosis are known in CD. Our case presented with acute subarachnoid hemorrhage in supraclinoid cistern due to rupture of tiny aneurysm of perforator arteries causing SAH and infarction in right basal ganglia. Patient was treated conservatively with immunosuppression along with medical management of SAH. |
| Databáze: | OpenAIRE |
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