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Cerebral arteritis in cat-scratch disease.

G Selby, G L Walker

    Neurology
    |October 1, 1979
    PubMed
    Summary
    This summary is machine-generated.

    Cat-scratch disease can cause serious neurological issues like stroke in children. This case highlights arteritis leading to hemiplegia and aphasia, which resolved with treatment.

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    Area of Science:

    • Neurology
    • Infectious Diseases
    • Pediatrics

    Background:

    • Cat-scratch disease, caused by Bartonella henselae, is typically a benign illness.
    • Neurological complications are rare but can be severe in children.
    • This case explores a potential link between cat-scratch disease and cerebrovascular events.

    Observation:

    • A 7-year-old girl presented with acute right hemiplegia and transient expressive aphasia.
    • Symptoms followed constitutional illness and a submandibular lymph node, suggestive of cat-scratch disease.
    • Cerebral imaging revealed arteritis and infarction in the left internal capsule.

    Findings:

    • Carotid arteriography demonstrated localized arteritis affecting the left internal carotid and middle cerebral arteries.

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  • Computerized tomography confirmed infarction in the left internal capsule.
  • The infarct size and angiographic abnormalities improved significantly within 6 weeks.

    • Implications:

    • Cat-scratch disease should be considered in the differential diagnosis of pediatric stroke and arteritis.
    • Early diagnosis and management of cat-scratch disease may prevent severe neurological sequelae.
    • This case underscores the importance of recognizing atypical presentations of infectious diseases.