Acute subdural effusion in vasculitis

Seetharam Raghavendra, Vidya Madavana Kamath, C. Sarada, Ashalatha Radhakrishnan, Chandrasekharan Kesavadas, Thamburaj Krishnamoorthy

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Abstract

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

Original languageEnglish (US)
Pages (from-to)195-197
Number of pages3
JournalNeurology India
Volume56
Issue number2
DOIs
Publication statusPublished - Apr 1 2008

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All Science Journal Classification (ASJC) codes

  • Neurology
  • Clinical Neurology

Cite this

Raghavendra, S., Kamath, V. M., Sarada, C., Radhakrishnan, A., Kesavadas, C., & Krishnamoorthy, T. (2008). Acute subdural effusion in vasculitis. Neurology India, 56(2), 195-197. https://doi.org/10.4103/0028-3886.42002