Microscopic polyangiitis presenting with capsular warning syndrome and subsequent stroke

被引:21
作者
Tang, C. W. [1 ,3 ]
Wang, P. N. [1 ,3 ]
Lin, K. P. [1 ,3 ]
Huang, D. F. [2 ,3 ]
Wang, S. J. [1 ,3 ]
Chen, W. T. [1 ,3 ]
机构
[1] Taipei Vet Gen Hosp, Neurol Inst, Taipei 112, Taiwan
[2] Taipei Vet Gen Hosp, Immunol Sect, Dept Med, Taipei 112, Taiwan
[3] Natl Yang Ming Univ, Sch Med, Taipei 112, Taiwan
关键词
Microscopic polyangiitis (MPA); Capsular warning syndrome (CWS); Acute ischemic stroke; Vasculitis; Anti-neutrophilic cytoplasmic antibody (ANCA); INVOLVEMENT; VASCULITIS;
D O I
10.1016/j.jns.2008.10.015
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
A 55-year-old man developed ischemic stroke after three episodes of transient dysarthria and left hemiplegia, a typical manifestation of capsular warning syndrome. Magnetic resonance imaging of the brain showed bilateral basal ganglionic infarction. The patient had no significant risk of stroke. However, the systemic manifestations, an elevated titer of perinuclear anti-neutrophilic cytoplasmic antibody and a skin biopsy revealing leukocytoclastic venulitis confirmed the undrlying microscopic polyangiitis. (C) 2008 Elsevier B.V. All rights reserved.
引用
收藏
页码:174 / 175
页数:2
相关论文
共 10 条
[1]  
Di Comite G, 2006, CLIN EXP RHEUMATOL, V24, pS60
[2]   Neurological involvement in rheumatological diseases [J].
Di Comite, G ;
Sabbadini, MG .
NEUROLOGICAL SCIENCES, 2005, 26 (Suppl 1) :S9-S14
[3]   THE CAPSULAR WARNING SYNDROME - PATHOGENESIS AND CLINICAL-FEATURES [J].
DONNAN, GA ;
OMALLEY, HM ;
QUANG, L ;
HURLEY, S ;
BLADIN, PF .
NEUROLOGY, 1993, 43 (05) :957-962
[4]  
GERT S, 2004, CEREBROVASC DIS, V17, P1
[5]  
Guillevin L, 1999, ARTHRITIS RHEUM-US, V42, P421, DOI 10.1002/1529-0131(199904)42:3<421::AID-ANR5>3.0.CO
[6]  
2-6
[7]   ANCA-associated vasculitis (AAV) causing bilateral cerebral infarction and subsequent intracerebral hemorrhage without renal and respiratory dysfunction [J].
Ito, Y ;
Suzuki, K ;
Yamazaki, T ;
Yoshizawa, T ;
Ohkoshi, N ;
Matsumura, A .
JOURNAL OF THE NEUROLOGICAL SCIENCES, 2006, 240 (1-2) :99-101
[8]   Small-vessel vasculitis [J].
Jennette, JC ;
Falk, RJ .
NEW ENGLAND JOURNAL OF MEDICINE, 1997, 337 (21) :1512-1523
[9]   NOMENCLATURE OF SYSTEMIC VASCULITIDES - PROPOSAL OF AN INTERNATIONAL CONSENSUS CONFERENCE [J].
JENNETTE, JC ;
FALK, RJ ;
ANDRASSY, K ;
BACON, PA ;
CHURG, J ;
GROSS, WL ;
HAGEN, EC ;
HOFFMAN, GS ;
HUNDER, GG ;
KALLENBERG, CGM ;
MCCLUSKEY, RT ;
SINICO, RA ;
REES, AJ ;
VANES, LA ;
WALDHERR, R ;
WIIK, A .
ARTHRITIS AND RHEUMATISM, 1994, 37 (02) :187-192
[10]   Early lacunar strokes complicating polyarteritis nodosa - Thrombotic microangiopathy [J].
Reichhart, MD ;
Bogousslavsky, J ;
Janzer, RC .
NEUROLOGY, 2000, 54 (04) :883-889