Abstract

Cerebral vasculitis secondary to Crohn's disease (CD) seems to be a very rare phenomenon. We report a 39-year-old male who presented with headache, vomiting, and left-sided weakness in the known case of CD. Cross-sectional imaging (computed tomography and magnetic resonance imaging,) showed right gangliocapsular acute infarct with supraclinoid cistern subarachnoid hemorrhage (SAH). Cerebral digital substraction angiography (DSA) showed dilatation and narrowing of right distal internal carotid artery (ICA). Left ICA was chronically occluded. His inflammatory markers were significantly raised. Imaging features are suggestive of cerebral vasculitis. Arterial and venous infarcts due to thrombosis are known in CD. Our case presented with acute subarachnoid hemorrhage in supraclinoid cistern due to rupture of tiny aneurysm of perforator arteries causing SAH and infarction in right basal ganglia. Patient was treated conservatively with immunosuppression along with medical management of SAH.

Details

Title
Crohns disease with central nervous system vasculitis causing subarachnoid hemorrhage due to aneurysm and cerebral ischemic stroke
Author
Garge, Shaileshkumar; Vyas, Pooja; Modi, Pranav; Ghatge, Sharad
Pages
444-447
Publication year
2014
Publication date
Oct-Dec 2014
Publisher
Medknow Publications & Media Pvt. Ltd.
ISSN
09722327
e-ISSN
19983549
Source type
Scholarly Journal
Language of publication
English
ProQuest document ID
1625602297
Copyright
Copyright Medknow Publications & Media Pvt Ltd Oct-Dec 2014