Central hemiparesis as manifestation of systemic vasculitis

Česká verze

Authors: Ľ. Cibičková ¹; T. Soukup ¹; J. Tomš ¹; L. Klzo ²; Abuhajar Mohamed Abdalla ²; P. Bradna ¹
Authors place of work: II. interní klinika Lékařské fakulty UK a FN Hradec Králové, přednosta prof. MU Dr. Jaroslav Malý, CSc. ¹; Radiologická klinika Lékařské fakulty UK a FN Hradec Králové, přednosta prof. MU Dr. Pavel Eliáš, CSc. ²
Published in the journal: Vnitř Lék 2010; 56(11): 1194-1197
Category: Kazuistiky

Summary

We present a case report of patient with systemic vasculitis with affection of heart, skin, gastrointestinal tract and rare involvement of central nervous system. Diagnosis of systemic vasculitis was based on clinical manifestations, blood hypereosinophilia and brain magnetic resonance imaging. Immunosuppressive therapy led to regression of symptoms including initially present neurologic manifestation.

Key words:
systemic vasculitis –⁠ central nervous system affection

Zdroje

1. Lamprecht P, Holle J, Gross WL. Update on clinical, pathophysiological and therapeutic aspects in ANCA‑associated vasculitides. Curr Drug Discov Technol 2009; 6 : 241 –⁠ 251.

2. Masi AT, Hunder GG, Lie JT et al. The American College of Rheumatology 1990 criteria for the classification of Churg ‑⁠ Strauss syndrome (allergic granulomatosis and angiitis). Arthritis Rheum 1990; 33 : 1094 –⁠ 1100.

3. Mukhtyar C, Guillevin L, Cid MC et al. EULAR recommendations for the management of primary small vessel vasculitis. Ann Rheum Dis 2009; 68 : 310 –⁠ 317.

4. Sehgal M, Swanson JW, DeRemee RA et al. Neurologic manifestations of Churg ‑⁠ Strauss syndrome. Mayo Clin Proc 1995; 70 : 337 –⁠ 341.

5. Finsterer J. Neurological manifestations of Churg -⁠ Strauss syndrome. Eur J Neurol 2009; 17 : 524 –⁠ 525.

6. Dennert RM, van Paassen P, Schalla S et al. Cardiac involvement in Churg -⁠ Strauss syndrome. Arthritis Rheum 2010; 62 : 627 –⁠ 634.

7. Husár R, Václavík J, Lukl J. Nově diagnostikovaný syndrom Churga ‑⁠ Straussové u pacientky s podezřením na akutní koronární syndrom. Vnitř Lék 2008; 54 : 1102 –⁠ 1105.