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Published on: June 3, 2021
A Case of Cerebral Vasculitis Associated with Ulcerative Colitis
Naveen Raj1, Matthew Arkebauer1, Barry Waters2
1Department of Rheumatology, Nova Southeastern University, Larkin Community Hospital, Miami, FL, USA.
Central nervous system vasculitis is a rare complication of ulcerative colitis (UC). Steroid treatment effectively resolved neurological deficits and brain lesions in a patient with UC-associated vasculitis.
Area of Science:
- Neurology
- Gastroenterology
- Immunology
Background:
- Ulcerative colitis (UC) is a chronic inflammatory bowel disease affecting the colon.
- UC can manifest as a systemic disorder, rarely involving the central nervous system (CNS).
- CNS complications of UC include thrombosis, leukoencephalitis, seizures, and vasculitis.
Purpose of the Study:
- To report a rare case of central nervous system vasculitis in a patient with ulcerative colitis.
- To highlight the diagnostic challenges and treatment outcomes for this rare neurological complication.
Main Methods:
- Case presentation of a 61-year-old female with a history of well-controlled UC.
- Neurological assessment, brain imaging (MRI), and brain biopsy.
- Histopathological examination of brain lesions and rheumatology serological testing.
Main Results:
- The patient presented with altered mental status and weakness.
- Brain biopsy revealed vasculitis with coagulative necrosis.
- Neurological function improved dramatically with steroid treatment, and brain lesions resolved.
Conclusions:
- Central nervous system vasculitis can be a rare but serious complication of ulcerative colitis.
- Prompt diagnosis and immunosuppressive therapy, such as corticosteroids, are crucial for favorable outcomes.
- This case underscores the importance of considering neurological manifestations in UC patients.
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