[Cerebral vasculitis in Crohn disease].
Central nervous system vasculitis in Crohn's disease. A 36-years old man was referred to the hospital because of severe headache, vertigo and right sided combined motor-sensory hemiparesis. There was a history of Crohn's disease with an acute exacerbation only two months ago. Magnetic resonance imaging detected a vascular lesion of the left brainstem and serologic investigations revealed circulating immunocomplexes and p-antineutrophil cytoplasmic autoantibodies (p-ANCA). Further investigations care no evidence of arteriosclerotic cerebrovascular disease. These findings therefore suggest that cerebral vasculitis secondary to Crohn's disease was the underlying cause of this focal neurologic deficit.
Adamek
R J
RJ
Medizinische Klinik, Ruhr-Universität, St.-Josef-Hospital, Bochum.
Wegener
M
M
Wedmann
B
B
Büttner
T
T
Ricken
D
D
D000328:Adult; D001933:Brain Stem / Q000098:blood supply; D002544:Cerebral Infarction / Q000175:diagnosis; D002561:Cerebrovascular Disorders / Q000175:diagnosis*; D003424:Crohn Disease / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D009460:Neurologic Examination; D014657:Vasculitis / Q000175:diagnosis*
Zerebrale Vaskulitis bei Morbus Crohn.