Ten year clinical experience with stroke and cerebral vasculitis

Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia
Peter A KempsterThanh G Phan

Abstract

Angiitis of the central nervous system (CNS) is difficult to diagnose but potentially fatal. When stroke occurs in a younger individual or is associated with multiple infarcts on imaging, clinicians must decide how far to pursue a possible diagnosis of vasculitis. The aim of this study is to establish the prevalence of primary and secondary cerebral angiitis among patients presenting with stroke. Hospital attendances over a 10year period were surveyed by searching for diagnostic codes and key words specific for cerebral vasculitis/angiitis. Case notes were reviewed by the authors using two sets of criteria for angiitis of the CNS. Thirty-two patients were initially considered likely to have cerebral angiitis by treating physicians. Thirteen had been admitted to hospital with stroke. During this period, there were 7475 admissions for ischaemic and haemorrhagic stroke. Six patients had a final diagnosis of vasculitic stroke but only one had definite CNS angiitis with a first presentation as ischaemic stroke (0.02%). Most patients who did have cerebral vasculitis developed multifocal or subacute neurological deficits, or already had an immunological disorder known to be associated with secondary CNS angiitis. Of 19 patients given ...Continue Reading

References

Nov 1, 1975·Stroke; a Journal of Cerebral Circulation·M C LeeA C Klassen
Jan 4, 1986·British Medical Journal·J W Norris, V C Hachinski
May 1, 1973·Stroke; a Journal of Cerebral Circulation·E F SteinmetzM J Aguilar
Jan 1, 1995·Stroke; a Journal of Cerebral Circulation·M Bitzer, H Topka
Sep 17, 1999·Neurology·A AlrawiD C Musch
Sep 8, 2000·Stroke; a Journal of Cerebral Circulation·A G ThriftG A Donnan
Sep 12, 2002·Archives of Neurology·Stefan T EngelterPhilippe A Lyrer
May 5, 2007·Stroke; a Journal of Cerebral Circulation·Thanh G PhanDavid C Reutens
Oct 11, 2007·Annals of Neurology·Carlo SalvaraniGene G Hunder
Oct 23, 2008·The American Journal of Surgical Pathology·Dylan V MillerCaterina Giannini
Feb 28, 2009·Stroke; a Journal of Cerebral Circulation·Jukka PutaalaTurgut Tatlisumak
Jun 10, 2009·Archives of Neurology·Julius Birnbaum, David B Hellmann
Oct 23, 2010·Stroke; a Journal of Cerebral Circulation·Karen L FurieUNKNOWN American Heart Association Stroke Council, Council on Cardiovascular Nursing, Council on Clinical Cardiology, and Interdisci
May 24, 2011·Lancet Neurology·Rula A Hajj-AliLeonard H Calabrese
Jun 4, 2011·Journal of the Neurological Sciences·Chiara PizzanelliAntonio Tavoni
May 3, 2012·Stroke; a Journal of Cerebral Circulation·Marcel M M BulderCatharina J M Klijn
May 12, 2012·Lancet·Carlo SalvaraniGene G Hunder
Oct 12, 2012·Neurology·Brett M KisselaDawn O Kleindorfer
Feb 5, 2014·Journal of Autoimmunity·Rula A Hajj-Ali, Leonard H Calabrese

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Citations

Feb 1, 2019·Journal of Neuroimaging : Official Journal of the American Society of Neuroimaging·Odysseas KargiotisGeorgios Tsivgoulis
Oct 28, 2019·Practical Neurology·Claire M Rice, Neil J Scolding
Jul 29, 2020·Frontiers in Pediatrics·Martin SmitkaMaja von der Hagen
Dec 16, 2020·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Jason VuongThanh Phan

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