title: Churg-Strauss syndrome presenting with subarachnoid hemorrhage from ruptured dissecting aneurysm of the intracranial vertebral artery.
abstract: Churg-Strauss syndrome (CSS) represents a rare systemic vasculitis that is almost invariably accompanied by bronchial asthma and eosinophilia. We report a case of a 36-year-old woman with previously diagnosed CSS presented with subarachnoid hemorrhage (SAH) from dissecting aneurysm in a vertebral artery (VA). Two months before onset of SAH, the patient had presented with numbness on her right lower leg due to peripheral neuropathy. On admission, angiography revealed dissecting aneurysm of the right intracranial VA and stenosis of the basilar artery. Hematological examination revealed an increased percentage of eosinophils. Ruptured dissecting aneurysm of the intracranial VA was diagnosed. Emergent coil embolization of the dissecting aneurysm and occlusion of the parent artery was performed to prevent repeated hemorrhage from the dissecting aneurysm. Then pharmacotherapy with prednisone was initiated for CSS. The patient recovered well and was discharged without any neurological deficit. As far as we know, this is the first reported case of CSS presented with SAH from dissecting aneurysm on posterior circulation.
authors: Department of Neurosurgery, Graduate School of Biomedical Sciences, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima 734-8551, Japan.
authors: Shigeyuki
authors: S
authors: Sakamoto
authors: Shinji
authors: S
authors: Ohba
authors: Kuniki
authors: K
authors: Eguchi
authors: Masaaki
authors: M
authors: Shibukawa
authors: Yoshihiro
authors: Y
authors: Kiura
authors: Takahito
authors: T
authors: Okazaki
authors: Yohsuke
authors: Y
authors: Kajihara
authors: Kazunori
authors: K
authors: Arita
authors: Kaoru
authors: K
authors: Kurisu
mesh_terms: D000328:Adult; D017542:Aneurysm, Ruptured / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D015267:Churg-Strauss Syndrome / Q000150:complications*; D005260:Female; D006801:Humans; D013345:Subarachnoid Hemorrhage / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D020217:Vertebral Artery Dissection / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery