Skip to main content
NCBI home page
Journal of Neurology, Neurosurgery, and Psychiatry logoLink to Journal of Neurology, Neurosurgery, and Psychiatry
. 1984 Apr;47(4):410–413. doi: 10.1136/jnnp.47.4.410

Recovery from rheumatoid cerebral vasculitis.

J M Gobernado, C Leiva, J Rábano, J C Alvarez-Cermeño, A Fernández-Molina
PMCID: PMC1027785  PMID: 6726269

Abstract

A 48-year-old woman with the classical features of longstanding rheumatoid arthritis acutely developed a diffuse cerebral disease. Angiograms showed extensive cerebral vasculitis, and CT scan demonstrated cerebral oedema and haemorrhage. Her clinical state, EEG and CT scan rapidly returned to normal following treatment with corticosteroids.

Full text

PDF
410

Images in this article

411Image
on p.411
412Image
on p.412

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Contin J. U., Oka M. Unusual cardiac, pulmonary and meningeal involvement in rheumatoid arthritis. Report of a case. Dis Chest. 1966 May;49(5):552–556. doi: 10.1378/chest.49.5.552. [DOI] [PubMed] [Google Scholar]
  2. Cupps T. R., Moore P. M., Fauci A. S. Isolated angiitis of the central nervous system. Prospective diagnostic and therapeutic experience. Am J Med. 1983 Jan;74(1):97–105. doi: 10.1016/0002-9343(83)91125-7. [DOI] [PubMed] [Google Scholar]
  3. ELLMAN P., CUDKOWICZ L., ELWOOD J. S. Widespread serous membrane involvement by rheumatoid nodules. J Clin Pathol. 1954 Aug;7(3):239–244. doi: 10.1136/jcp.7.3.239. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Edwards K. R. Hemorrhagic complications of cerebral arteritis. Arch Neurol. 1977 Sep;34(9):549–552. doi: 10.1001/archneur.1977.00500210051008. [DOI] [PubMed] [Google Scholar]
  5. Fauci A. S., Haynes B., Katz P. The spectrum of vasculitis: clinical, pathologic, immunologic and therapeutic considerations. Ann Intern Med. 1978 Nov;89(5 Pt 1):660–676. doi: 10.7326/0003-4819-89-5-660. [DOI] [PubMed] [Google Scholar]
  6. Ferris E. J., Levine H. L. Cerebral arteritis: classification. Radiology. 1973 Nov;109(2):327–341. doi: 10.1148/109.2.327. [DOI] [PubMed] [Google Scholar]
  7. Gherardi G. J., Lee H. Y. Localized dissecting hemorrhage and arteritis. Renal and cerebral manifestations. JAMA. 1967 Jan 16;199(3):219–220. [PubMed] [Google Scholar]
  8. Gonzalez-Scarano F., Lisak R. P., Bilaniuk L. T., Zimmerman R. A., Atkins P. C., Zweiman B. Cranial computed tomography in the diagnosis of systemic lupus erythematosus. Ann Neurol. 1979 Feb;5(2):158–165. doi: 10.1002/ana.410050209. [DOI] [PubMed] [Google Scholar]
  9. JOHNSON R. L., SMYTH C. J., HOLT G. W., LUBCHENCO A., VALENTINE E. Steroid therapy and vascular lesions in rheumatoid arthritis. Arthritis Rheum. 1959 Jun;2(3):224–229. doi: 10.1002/1529-0131(195906)2:3<224::aid-art1780020305>3.0.co;2-i. [DOI] [PubMed] [Google Scholar]
  10. Jasin H. E., LoSpalluto J., Ziff M. Rheumatoid hyperviscosity syndrome. Am J Med. 1970 Oct;49(4):484–493. doi: 10.1016/s0002-9343(70)80043-2. [DOI] [PubMed] [Google Scholar]
  11. Johnson R. T., Richardson E. P. The neurological manifestations of systemic lupus erythematosus. Medicine (Baltimore) 1968 Jul;47(4):337–369. doi: 10.1097/00005792-196807000-00002. [DOI] [PubMed] [Google Scholar]
  12. KEMPER J. W., BAGGENSTOSS A. H., SLOCUMB C. H. The relationship of therapy with cortisone to the incidence of vascular lesions in rheumatoid arthritis. Ann Intern Med. 1957 May;46(5):831–851. doi: 10.7326/0003-4819-46-5-831. [DOI] [PubMed] [Google Scholar]
  13. Kim R. C. Rheumatoid disease with encephalopathy. Ann Neurol. 1980 Jan;7(1):86–91. doi: 10.1002/ana.410070117. [DOI] [PubMed] [Google Scholar]
  14. McFarland H. R., Wood W. G., Drowns B. V., Meneses A. C. Papulosis atrophicans maligna (Köhlmeier-Degos disease): a disseminated occlusive vasculopathy. Ann Neurol. 1978 May;3(5):388–392. doi: 10.1002/ana.410030504. [DOI] [PubMed] [Google Scholar]
  15. Nakano K. K. Neurologic complications of rheumatoid arthritis. Orthop Clin North Am. 1975 Jul;6(3):861–880. [PubMed] [Google Scholar]
  16. Nightingale S., Venables G. S., Bates D. Polymyalgia rheumatica with diffuse cerebral disease responding rapidly to steroid therapy. J Neurol Neurosurg Psychiatry. 1982 Sep;45(9):841–843. doi: 10.1136/jnnp.45.9.841. [DOI] [PMC free article] [PubMed] [Google Scholar]
  17. Ouyang R., Mitchell D. M., Rozdilsky B. Central nervous system involvement in rheumatoid disease. Report of a case. Neurology. 1967 Nov;17(11):1099–1105. doi: 10.1212/wnl.17.11.1099. [DOI] [PubMed] [Google Scholar]
  18. PIRANI C. L., BENNETT G. A. Rheumatoid arthritis; a report of three cases progressing from childhood and emphasizing certain systemic manifestations. Bull Hosp Joint Dis. 1951 Oct;12(2):335–367. [PubMed] [Google Scholar]
  19. Pope R. M., Fletcher M. A., Mamby A., Shapiro C. M. Rheumatoid arthritis associated with hyperviscosity syndrome and intermediate complex formation. Arch Intern Med. 1975 Feb;135(2):281–285. [PubMed] [Google Scholar]
  20. Ramos M., Mandybur T. I. Cerebral vasculitis in rheumatoid arthritis. Arch Neurol. 1975 Apr;32(4):271–275. doi: 10.1001/archneur.1975.00490460087014. [DOI] [PubMed] [Google Scholar]
  21. SHEEHAN B., HARRIMAN D. G., BRADSHAW J. P. Polyarteritis nodosa with ophthalmic and neurological complications. AMA Arch Ophthalmol. 1958 Oct;60(4 Pt 1):537–547. doi: 10.1001/archopht.1958.00940080555003. [DOI] [PubMed] [Google Scholar]
  22. SOKOLOFF L., BUNIM J. J. Vascular lesions in rheumatoid arthritis. J Chronic Dis. 1957 Jun;5(6):668–687. doi: 10.1016/0021-9681(57)90075-9. [DOI] [PubMed] [Google Scholar]
  23. STEINER J. W., GELBLOOM A. J. Intracranial manifestations in two cases of systemic rheumatoid disease. Arthritis Rheum. 1959 Dec;2:537–545. doi: 10.1002/1529-0131(195912)2:6<537::aid-art1780020608>3.0.co;2-q. [DOI] [PubMed] [Google Scholar]
  24. Schachenmayr W., Friede R. L. Dural involvement in rheumatoid arthritis. Acta Neuropathol. 1978 Apr 26;42(1):65–66. doi: 10.1007/BF01273270. [DOI] [PubMed] [Google Scholar]
  25. Watson P., Fekete J., Deck J. Central nervous system vasculitis in rheumatoid arthritis. Can J Neurol Sci. 1977 Nov;4(4):269–272. doi: 10.1017/s0317167100025105. [DOI] [PubMed] [Google Scholar]
  26. Watson P. Intracranial hemorrhage with vasculitis in rheumatoid arthritis. Arch Neurol. 1979 Jan;36(1):58–58. doi: 10.1001/archneur.1979.00500370088026. [DOI] [PubMed] [Google Scholar]

Articles from Journal of Neurology, Neurosurgery, and Psychiatry are provided here courtesy of BMJ Publishing Group

RESOURCES