[Peripheral and central neurological manifestations in a case of Churg Strauss syndrome]

In Churg and Strauss syndrome, the central nervous system is rarely affected. We describe the case of a 47-year-old woman who developed signs of altered health status, bradypsychie, and motor axonal multiple mononeuropathy. The context of paranasal sinusitis, asthma and chronic abdominal pains in addition to hypereosinophilia and antimyeloperoxydase antineutrophil cytoplasmic antibodies contributed to the diagnosis of Churg and Strauss syndrome. CT scan and magnetic resonance imaging of the brain revealed a left parieto-occipital and a right occipital hematoma and a right subarachnoid hemorrhage. The cerebral vasculitis was explained by the central manifestation as shown with arteriography. The patient was treated with corticosteroids and immunosuppressors.