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Primary Central Nervous System Vasculitis: A Rare Cause of Stroke
Ana de Carmo Campos1,2, Sara Sarmento1,3, Marco Narciso1
1Pulido Valente Hospital, North Lisbon University Hospital Centre, Lisbon, PRT.
Cureus
|June 27, 2023
Summary
Primary central nervous system vasculitis (PCNSV) is a rare cause of ischemic stroke. Early diagnosis and corticosteroid therapy are crucial for positive outcomes in suspected PCNSV cases.
Area of Science:
- Neurology
- Vascular Neurology
Background:
- Primary central nervous system vasculitis (PCNSV) is an uncommon cause of ischemic stroke, often idiopathic.
- PCNSV presents with diverse neurological symptoms and warrants consideration in ischemic stroke differentials, especially with multifocal or unexplained deficits.
Observation:
- A 64-year-old woman presented with an ischemic stroke and multiple intracranial arterial stenoses.
- Secondary causes of vasculitis were ruled out. The patient declined a brain biopsy.
Findings:
- High suspicion of PCNSV led to corticosteroid therapy, supported by transcranial Doppler ultrasound and MRA.
- The patient experienced a positive clinical outcome with no recurrence during treatment.
Implications:
- This case highlights the importance of including PCNSV in the differential diagnosis of ischemic stroke.
- Prompt initiation of appropriate therapy is vital for managing PCNSV and preventing complications.
Keywords:
angiitisbrain ultrasonographyischemic strokemagnetic resonance angiographyprimary central nervous system vasculitisMore Related Videos
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