Intracerebral hemorrhage due to moyamoya syndrome as a rare presentation of cerebral rheumatoid vasculitis: a case report
Abstract Background Central nervous system affection in rheumatoid arthritis is rare. The most frequently encountered neurological complications with rheumatoid arthritis are peripheral neuropathy and atlantoaxial subluxation with subsequent spinal cord compression. Cerebral rheumatoid vasculitis is...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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SpringerOpen
2021-10-01
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| Series: | The Egyptian Journal of Neurology, Psychiatry and Neurosurgery |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s41983-021-00392-3 |
| _version_ | 1819043367362756608 |
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| author | Ayman Hassan El-Sudany Salah Hussein El-Halawany Shady S. Georgy Amr S. Zaki Rady Y. Bedros Mostafa Hashim Mostafa Ahmed El-Bassiouny |
| author_facet | Ayman Hassan El-Sudany Salah Hussein El-Halawany Shady S. Georgy Amr S. Zaki Rady Y. Bedros Mostafa Hashim Mostafa Ahmed El-Bassiouny |
| author_sort | Ayman Hassan El-Sudany |
| collection | DOAJ |
| description | Abstract Background Central nervous system affection in rheumatoid arthritis is rare. The most frequently encountered neurological complications with rheumatoid arthritis are peripheral neuropathy and atlantoaxial subluxation with subsequent spinal cord compression. Cerebral rheumatoid vasculitis is not a common complication. Case presentation A 60-year-old Egyptian female with history of rheumatoid arthritis for 15 years presented with headache and receptive aphasia. Computed tomography scan of the brain showed recent intracerebral hemorrhage. Digital subtraction cerebral angiography showed moyamoya syndrome angiographic pattern as sequelae of intracranial vasculitis. The patient did well with conservative management. Conclusion Cerebral rheumatoid vasculitis is rare, but can be a life-threatening condition. Early management of rheumatoid arthritis is essential to prevent such serious complication. |
| first_indexed | 2024-12-21T09:55:39Z |
| format | Article |
| id | doaj.art-5b3d4e11126a42f7ba109c1e4b7b6a55 |
| institution | Directory Open Access Journal |
| issn | 1687-8329 |
| language | English |
| last_indexed | 2024-12-21T09:55:39Z |
| publishDate | 2021-10-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | The Egyptian Journal of Neurology, Psychiatry and Neurosurgery |
| spelling | doaj.art-5b3d4e11126a42f7ba109c1e4b7b6a552022-12-21T19:08:04ZengSpringerOpenThe Egyptian Journal of Neurology, Psychiatry and Neurosurgery1687-83292021-10-015711410.1186/s41983-021-00392-3Intracerebral hemorrhage due to moyamoya syndrome as a rare presentation of cerebral rheumatoid vasculitis: a case reportAyman Hassan El-Sudany0Salah Hussein El-Halawany1Shady S. Georgy2Amr S. Zaki3Rady Y. Bedros4Mostafa Hashim Mostafa5Ahmed El-Bassiouny6Neurology Department, Faculty of Medicine, Ain Shams UniversityInternal Medicine Department, Faculty of Medicine, Ain Shams UniversityNeurology Department, Faculty of Medicine, Ain Shams UniversityNeurology Department, Faculty of Medicine, Ain Shams UniversityNeurology Department, Faculty of Medicine, Ain Shams UniversityNeurology Department, Faculty of Medicine, Ain Shams UniversityNeurology Department, Faculty of Medicine, Ain Shams UniversityAbstract Background Central nervous system affection in rheumatoid arthritis is rare. The most frequently encountered neurological complications with rheumatoid arthritis are peripheral neuropathy and atlantoaxial subluxation with subsequent spinal cord compression. Cerebral rheumatoid vasculitis is not a common complication. Case presentation A 60-year-old Egyptian female with history of rheumatoid arthritis for 15 years presented with headache and receptive aphasia. Computed tomography scan of the brain showed recent intracerebral hemorrhage. Digital subtraction cerebral angiography showed moyamoya syndrome angiographic pattern as sequelae of intracranial vasculitis. The patient did well with conservative management. Conclusion Cerebral rheumatoid vasculitis is rare, but can be a life-threatening condition. Early management of rheumatoid arthritis is essential to prevent such serious complication.https://doi.org/10.1186/s41983-021-00392-3Rheumatoid arthritisCerebral rheumatoid vasculitisIntracerebral hemorrhageMoyamoya syndromeDigital subtraction angiography |
| spellingShingle | Ayman Hassan El-Sudany Salah Hussein El-Halawany Shady S. Georgy Amr S. Zaki Rady Y. Bedros Mostafa Hashim Mostafa Ahmed El-Bassiouny Intracerebral hemorrhage due to moyamoya syndrome as a rare presentation of cerebral rheumatoid vasculitis: a case report The Egyptian Journal of Neurology, Psychiatry and Neurosurgery Rheumatoid arthritis Cerebral rheumatoid vasculitis Intracerebral hemorrhage Moyamoya syndrome Digital subtraction angiography |
| title | Intracerebral hemorrhage due to moyamoya syndrome as a rare presentation of cerebral rheumatoid vasculitis: a case report |
| title_full | Intracerebral hemorrhage due to moyamoya syndrome as a rare presentation of cerebral rheumatoid vasculitis: a case report |
| title_fullStr | Intracerebral hemorrhage due to moyamoya syndrome as a rare presentation of cerebral rheumatoid vasculitis: a case report |
| title_full_unstemmed | Intracerebral hemorrhage due to moyamoya syndrome as a rare presentation of cerebral rheumatoid vasculitis: a case report |
| title_short | Intracerebral hemorrhage due to moyamoya syndrome as a rare presentation of cerebral rheumatoid vasculitis: a case report |
| title_sort | intracerebral hemorrhage due to moyamoya syndrome as a rare presentation of cerebral rheumatoid vasculitis a case report |
| topic | Rheumatoid arthritis Cerebral rheumatoid vasculitis Intracerebral hemorrhage Moyamoya syndrome Digital subtraction angiography |
| url | https://doi.org/10.1186/s41983-021-00392-3 |
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