Isolated angiitis of the CNS presenting as subarachnoid haemorrhage

Rajeev Kumar, Eelco F.M. Wijdicks, Robert D. Brown, Joseph E. Parisi, Charlotte A. Hammond

Research output: Contribution to journalArticle

53 Scopus citations

Abstract

Isolated angiitis of the CNS (IACNS) commonly presents with recurrent ischaemic or haemorrhagic infarcts, but subarachnoid haemorrhage is rare. Three patients with IACNS and subarachnoid haemorrhage are reported. Florid granulomatous angiitis with Langhans and foreign body type giant cells was found at necropsy in a child with sudden death. In two other patients the diagnosis was made angiographically. In one patient multifocal infarcts on MRI became evident one week after subarachnoid haemorrhage despite initial treatment with prednisone. Subarachnoid haemorrhage may be the first presentation of IACNS. Characteristic radiographic findings may allow early diagnosis.

Original languageEnglish (US)
Pages (from-to)649-651
Number of pages3
JournalJournal of Neurology Neurosurgery and Psychiatry
Volume62
Issue number6
DOIs
StatePublished - Jun 1997

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Keywords

  • Subarachnoid haemorrhage
  • Vasculitis

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology
  • Psychiatry and Mental health

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