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Case Reports
. 2016 Jul-Sep;19(3):406-8.
doi: 10.4103/0972-2327.186845.

Primary CNS vasculitis presenting as intraventricular bleeding

Sreeja Hareendranathan Pillai  1 , Sapna Erat Sreedharan  1 , Girish Menon  2 , Santhosh Kannoth  3 , Sylaja Pn  1
Affiliations
Case Reports

Primary CNS vasculitis presenting as intraventricular bleeding

Sreeja Hareendranathan Pillai et al. Ann Indian Acad Neurol. 2016 Jul-Sep.

Abstract

Primary angiitis of the central nervous system (PACNS) is a rare disorder affecting both medium- and small-sized vessels. Intracranial haemorrhages though less reported are in the form of parenchymal haemorrhage and subarachnoid haemorrhage. We report a case of PACNS with intraventricular haemorrhage due to aneurysms secondary to progression of vasculitis.

Keywords: Infarcts; intraventricular hemorrhage; primary angiitis of the central nervous system (PACNS).

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Figures

Figure 1
Figure 1
(a) DWI images showing diffusion restriction in bilateral peritrigonal region and patchy in bilateral posterior temporal and parietal lobes (b and c) FLAIR images showing hyperintense lesions in bilateral posterior parietal, bilateral caudate, and bilateral corona radiata (d) vertebro basilar system-conventional angiogram lateral view, showing normal appearance of vessels
Figure 2
Figure 2
Vertebral angiograms AP (a) and lateral (b) views show multiple irregular aneurysms in the telovelomedullary and telovelotonsillar segments of right posterior inferior cerebellar artery. The findings are better appreciated in the 3D angiogram image (c) 3D reconstruction of vertebral angiogram showing multiple aneurysms in the left PICA (d)
See this image and copyright information in PMC

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