Anti-neutrophil cytoplasmic antibody (ANCA)-associated vasculitis involving the central nervous system: Case report and review of the literature

Clinical and Experimental Rheumatology

Volumn 28, Issue 5, 2010, Pages 759-766

  Ghinoi, A ^a   Zuccoli, G ^b   Pipitone, N ^a   Salvarani, C ^a  

^a Arcispedale Santa Maria Nuova   (Italy)

^b UNIVERSITY OF PITTSBURGH MEDICAL CENTER   (United States)

Author keywords

Lethargy; MR dates; Seizures

Indexed keywords

CYCLOPHOSPHAMIDE; MEPREDNISONE; NEUTROPHIL CYTOPLASMIC ANTIBODY;

ADULT; ANCA ASSOCIATED VASCULITIS; ANGIOGRAPHY; ARTHRALGIA; ARTICLE; BLOOD TRANSFUSION; BRAIN VASCULITIS; CASE REPORT; COGNITIVE DEFECT; DEPRESSION; FEMALE; FEVER; FINGER AMPUTATION; HUMAN; HUMAN TISSUE; KIDNEY BIOPSY; LIMB WEAKNESS; MOOD CHANGE; PRIORITY JOURNAL;

ANTI-NEUTROPHIL CYTOPLASMIC ANTIBODY-ASSOCIATED VASCULITIS; BRAIN; BRAIN INFARCTION; COGNITION DISORDERS; CONSTRICTION, PATHOLOGIC; CYCLOPHOSPHAMIDE; DRUG THERAPY, COMBINATION; FEMALE; GLUCOCORTICOIDS; HUMANS; IMMUNOGLOBULINS, INTRAVENOUS; IMMUNOSUPPRESSIVE AGENTS; MAGNETIC RESONANCE ANGIOGRAPHY; MAGNETIC RESONANCE IMAGING; MIDDLE AGED; MIDDLE CEREBRAL ARTERY; PUBMED; TREATMENT OUTCOME; VASCULITIS, CENTRAL NERVOUS SYSTEM;

EID: 78650526381     PISSN: 0392856X     EISSN: 1593098X     Source Type: Journal    
DOI: None     Document Type: Article

References (59)

1. PHILLIP R, LUQMANIR: Mortality in systemic vasculitis: a systematic review. Clin Exp Rheumatol 2008;26(Suppl. 51): S94-104.
2. GUILLEVIN L, LHOTE F: Classification and management of necrotising vasculitides. Drugs 1997;53:805-16.
3. SEROR R, MAHR A, RAMANOELINA J, PAGNOUX C, COHEN P, GUILLEVIN L: Central nervous system involvement in Wegener granulomatosis. Medicine (Baltimore) 2006;85:54-65.
4. JENNETTE JC, FALK RJ, ANDRASSY K et al.: Nomenclature of systemic vasculitides. Proposal of an international consensus conference. Arthritis Rheum 1994;37:187-92.
5. BERLIT P: Isolated angiitis of the CNS and bacterial endocarditis: similarities and differences. J Neurol 2009;256:792-5.
6. MURPHY JM, GOMEZ-ANSON B, GILLARD JH et al.: Wegener granulomatosis: MR imaging findings in brain and meninges. Radiology 1999;213:794-9.
7. NISHINO H, RUBINO FA, DEREMEE RA, SWANSON JW, PARISI JE: Neurological involvement in Wegener's granulomatosis: an analysis of 324 consecutive patients at the Mayo Clinic. Ann Neurol 1993;33:4-9.
8. REINHOLD-KELLER E, DE GROOT K, HOLL-ULRICH K et al.: Severe CNS manifestations as the clinical hallmark in generalized Wegener's granulomatosis consistently negative for antineutrophil cytoplasmic antibodies (ANCA). A report of 3 cases and a review of the literature. Clin Exp Rheumatol 2001;19:541-9.
9. YONG TY, LI JY, AMATO L et al.: Pituitary involvement in Wegener's granulomatosis. Pituitary 2008;11:77-84.
10. TOKUMARU AM, OBATA T, KOHYAMA S et al.: Intracranial meningeal involvement in Churg-Strauss syndrome. AJNR Am J Neuroradiol 2002;23:221-4.
11. FUNAUCHI M, NOZAKI Y, HASHIMOTO K et al.: Microscopic polyangitis as a possible cause of diabetes insipidus. Clin Rheumatol 2002;21:540.
12. HAYASHI Y, SUGAWARA H, OTSUKA M, YAMADA S, TABEI K, UEKI A: Fatal hemoperitoneum preceded by cranial hypertrophic pachymeningitis in a patient with ANCA-positive microscopic polyangitis. Intern Med 2008;47:1061-3.
13. FAUCI AS, HAYNES BF, KATZ P, WOLFF SM: Wegener's granulomatosis: prospective clinical and therapeutic experience with 85 patients for 21 years. Ann Intern Med 1983;98:76-85.
14. HOFFMAN GS, KERR GS, LEAVITT RY et al.: Wegener granulomatosis: an analysis of 158 patients. Ann Intern Med 1992;116:488-98.
15. SEHGAL M, SWANSON JW, DEREMEE RA, COLBY TV: Neurologic manifestations of Churg-Strauss syndrome. Mayo Clin Proc 1995;70:337-41.
16. GUILLEVIN L, COHEN P, GAYRAUD M, LHOTE F, JARROUSSE B, CASASSUS P: Churg-Strauss syndrome. Clinical study and long-term follow-up of 96 patients. Medicine (Baltimore) 1999;78:26-37.
17. KU BD, SHIN HY: Multiple bilateral nonhemorrhagic cerebral infarctions associated with microscopic poly angiitis. Clin Neurol Neurosurg 2009;111:904-6.
18. TANG CW, WANG PN, LIN KP, HUANG DF, WANG SJ, CHEN WT: Microscopic polyangiitis presenting with capsular warning syndrome and subsequent stroke. J Neurol Sci 2009;277:174-5.
19. CHURG J, STRAUSS L: Allergic granulomatosis, allergic angiitis, and periarteritis nodosa. Am J Pathol 1951;27:277-301.
20. BAAJ AA, VALE FL, CARTER JD, ROJIANI AM: Granulomatosis with CNS involvement: a neuroimaging clinicopathologic correlation. J Neuroimaging 2009;19:194-7.
21. PAYTON CD, JONES JM: Cortical blindness complicating Wegener's granulomatosis. Br Med J (Clin Res Ed) 1985;290:676.
22. NISHINO H, RUBINO FA, PARISI JE: The spectrum of neurologic involvement in Wegener's granulomatosis. Neurology 1993;43:1334-7.
23. BERETTA L, CARONNI M, VANOLI M, SCORZA R: Churg-Strauss vasculitis with brain involvement following hepatitis B vaccination. Clin Exp Rheumatol 2001;19:757.
24. LIOU HH, LIU HM, CHIANG IP, YEH TS, CHEN RC: Churg-Strauss syndrome presented as multiple intracerebral hemorrhage. Lupus 1997;6:279-82.
25. HAGIWARA K, TOMINAGA K, SHIDA N, YAMASHITA Y: Multifocal enhancing cortical lesions in a patient with Churg-Strauss syndrome. Neurology 2008;71:1546-8.
26. SONNEVILLE R, LAGRANGE M, GUIDOUX C et al.: (The association of cardiac involvement and ischemic stroke in Churg Strauss syndrome). Rev Neurol (Paris) 2006;162:229-32.
27. MEMET B, RUDINSKAYA A, KREBS T, OELBERG D: Wegener granulomatosis with massive intracerebral hemorrhage: remission of disease in response to rituximab. J Clin Rheumatol 2005;11:314-8.
28. DINC A, SOY M, PAY S, SIMSEK I, ERDEM H, SOBACI G: A case of Churg-Strauss syndrome presenting with cortical blindness. Clin Rheumatol 2000;19:318-20.
29. CHANG Y, KARGAS SA, GOATES JJ, HOROUPIAN DS: Intraventricular and subarachnoid hemorrhage resulting from necrotizing vasculitis of the choroid plexus in a patient with Churg-Strauss syndrome. Clin Neuropathol 1993;12:84-7.
30. CALVO-ROMERO JM, DEL CARMEN BONIL-LA-GRACIA, BUREO-DACAL P: Churg-Strauss syndrome presenting as spontaneous subarachnoid haemorrhage. Clin Rheumatol 2002;21:261-3.
31. PIPITONE N, VERSARI A, SALVARANI C: Role of imaging studies in the diagnosis and follow-up of large-vessel vasculitis: an update. Rheumatology (Oxford) 2008;47:403-8.
32. SALVARANI C, BROWN RD JR, CALAMIA KT et al.: Primary central nervous system vasculitis: analysis of 101 patients. Ann Neurol 2007;62:442-51.
33. YAMASHITA Y, TAKAHASHI M, BUSSAKA H, MIYAWAKI M, TOSAKA K: Cerebral vasculitis secondary to Wegener's granulomatosis: computed tomography and angiographic findings. J Comput Tomogr 1986;10:115-20.
34. SAVITZ JM, YOUNG MA, RATAN RR: Basilar artery occlusion in a young patient with Wegener's granulomatosis. Stroke 1994;25:214-6.
35. ANZALONE N, RIGHI C, SIMIONATO F et al.: Three-dimensional time-of-flight MR angiography in the evaluation of intracranial aneurysms treated with Guglielmi detachable coils. AJNR Am J Neuroradiol 2000;21:746-52.
36. BOULIN A, PIEROT L: Follow-up of intracranial aneurysms treated with detachable coils: comparison of gadolinium-enhanced 3D time-of-flight MR angiography and digital subtraction angiography. Radiology 2001;219:108-13.
37. KAHARA VJ, SEPPANEN SK, RYYMIN PS, MATTILA P, KUURNE T, LAASONEN EM: MR angiography with three-dimensional timeof-flight and targeted maximum-intensityprojection reconstructions in the follow-up of intracranial aneurysms embolized with Guglielmi detachable coils. AJNR Am J Neuroradiol 1999;20:1470-5.
38. HEISERMAN JE, DRAYER BP, KELLER PJ, FRAM EK: Intracranial vascular stenosis and occlusion: evaluation with three-dimensional time-of-flight MR angiography. Radiology 1992;185:667-73.
39. WILMS G, BOSMANS H, DEMAEREL P, MARCHAL G: Magnetic resonance angiography of the intracranial vessels. Eur J Radiol 2001;38:10-8.
40. ORANZIERA C, MICHEL P, ROSSETTI AO, LURATI F, REYMOND S, BOGOUSSLAVSKY J: Wegener granulomatosis presenting with haemorragic stroke in a young adult. J Neurol 2005;252:615-6.
41. KONATE A, LE FALHER G, CROZAT-GROSLERON S, RIVIERE S, LE QUELLEC A: (Incidence and presentation of the central neurological manifestations of Wegener's granulomatosis: a monocentric study of 14 cases). Rev Med Interne 2004;25:183-8.
42. CARAMASCHI P, BIASI D, CARLETTO A, BAMBARA LM: A case of ANCA-associated vasculitis with predominant involvement of central nervous system. Joint Bone Spine 2003;70:380-3. (Pubitemid 37243276)
43. LIOU HH, YIP PK, CHANG YC, LIU HM: Allergic granulomatosis and angiitis (Churg-Strauss syndrome) presenting as prominent neurologic lesions and optic neuritis. J Rheumatol 1994;21:2380-4.
44. TAYLOR CT, BURING SM, TAYLOR KH: Treatment of Wegener's granulomatosis with immune globulin: CNS involvement in an adolescent female. Ann Pharmacother 1999;33:1055-9.
45. SZCZEPIORKOWSKI ZM, BANDARENKO N, KIM HC et al.: Guidelines on the use of therapeutic apheresis in clinical practice: evidence-based approach from the Apheresis Applications Committee of the American Society for Apheresis. J Clin Apher 2007;22:106-75.
46. JAYNE DR, GASKIN G, RASMUSSEN N et al.: Randomized trial of plasma exchange or high-dosage methylprednisolone as adjunctive therapy for severe renal vasculitis. J Am Soc Nephrol 2007;18:2180-8.
47. NGUYEN T, MARTIN MK, INDRIKOVS AJ: Plasmapheresis for diffuse alveolar hemorrhage in a patient with Wegener's granulomatosis: case report and review of the literature. J Clin Apher 2005;20:230-4.
48. DE GROOT K, SCHMIDT DK, ARLT AC, GROSS WL, REINHOLD-KELLER E: Standardized neurologic evaluations of 128 patients with Wegener granulomatosis. Arch Neurol 2001;58:1215-21.
49. ANDERSON JM, JAMIESON DG, JEFFERSON JM: Non-healing granuloma and the nervous system. Q J Med 1975;44:309-23.
50. DRACHMAN DD: Neurological complications of Wegener's granulomatosis. Archives of Neurology 1963;8:145-55.
51. PROVENZALE JM, ALLEN NB: Wegener granulomatosis: CT and MR findings. AJNR Am J Neuroradiol 1996;17:785-92.
52. FRED HL, LYNCH EC, GREENBERG SD, GONZALEZ-ANGULO A: A patient with Wegener's granulomatosis exhibiting unusual clinical and morphologic features. Am J Med 1964;37:311-9.
53. LUCAS FV, BENJAMIN SP, STEINBERG MC: Cerebral vasculitis in Wegener's granulomatosis. Cleve Clin Q 1976;43:275-81.
54. PINCHING AJ, LOCKWOOD CM, PUSSELL BA et al.: Wegener's granulomatosis: observations on 18 patients with severe renal disease. Q J Med 1983;52:435-60.
55. ASMUS R, KOLTZE H, MUHLE C et al.: MRI of the head in Wegener's granulomatosis. Adv Exp Med Biol 1993;336:319-21.
56. KRAEMER M, BERLIT P: Systemic, secondary and infectious causes for cerebral vasculitis: clinical experience with 16 new European cases. Rheumatol Int 2009.
57. AKKARA VEETIL BM, SCHIMMER BM: A case of limited systemic sclerosis with p-ANCA, complicated by multiple cerebral hemorrhages. Rheumatol Int 2009;29:325-9.
58. CHUMBLEY LC, HARRISON EG JR, DE REMEE RA: Allergic granulomatosis and angiitis (Churg-Strauss syndrome). Report and analysis of 30 cases. Mayo Clin Proc 1977;52:477-84.
59. LANHAM JG, ELKON KB, PUSEY CD, HUGHES GR: Systemic vasculitis with asthma and eosinophilia: a clinical approach to the Churg-Strauss syndrome. Medicine (Baltimore) 1984;63:65-81.