Acute subdural effusion in vasculitis

作者：Raghavendra Seetharam; Kamath Vidya Madavana Venugopal; Sarada C; Radhakrishnan Ashalatha^*; Kesavadas Chandrasekharan; Krishnamoorthy Thamburaj

来源：Neurology India, 2008, 56(2): 195-197.

• pathergy test
• subdural effusion
• vasculitis

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 I 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 Behcet's disease although the international diagnostic criteria for Behcet's were not fulfilled.

• 出版日期2008-6
• 单位河北医科大学