Medknow Publications on behalf of the Neurological Society of India
Vol. 56, No. 2, 2008, pp. 195-197
Bioline Code: ni08052
Full paper language: English
Document type: Case Report
Document available free of charge
Neurology India, Vol. 56, No. 2, 2008, pp. 195-197
© Copyright 2008 Neurology India.
Acute subdural effusion in vasculitis|
Raghavendra, Seetharam; Kamath, Vidya Madavana Venugopal; Sarada, C.; Radhakrishnan, Ashalatha; Kesavadas, Chandrasekharan & Krishnamoorthy, Thamburaj
We report a 29-year-old man with a unique presentation of vasculitis as acute unilateral subdural effusion and meningoencephalitis. Magnetic resonance imaging showed a brainstem lesion that spread to the thalamus over time. There were no systemic features of vasculitis other than a positive pathergy test. Histopathological examination from the pathergy site showed neutrophilic infiltrate and leucocytoclastic vasculitis. The condition was steroid responsive and he remained in remission at two years′ follow-up. The anatomy of the brainstem lesion, absence of other inflammatory and infective conditions on evaluation suggests a vasculitic pathology either as primary central nervous system angiitis or as neurological presentation of systemic vasculitis like Behηet′s disease although the international diagnostic criteria for Behηet′s were not fulfilled.
Pathergy test, subdural effusion, vasculitis
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