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A 59 year-old woman presented with headaches, confusion and multiple strokes. |
| Cerebral Vasculitis: Cerebral Angiogram; Right Internal Carotid Artery injection, lateral oblique view. Normally, arteries taper as they travel distally. However, upon close inspection of the distal branches, note the focal narrowing of one of the superficial branches of the anterior cerebral artery. This appearance is consistent with cerebral vasculitis, which can occur as an isolated syndrome or as part of a more widespread systemic vasculitis. Often, brain and meningeal biopsy are needed to confirm the diagnosis. Cerebral vasculitis often presents as an encephalopathy with superimposed focal deficits from multiple ischemic strokes. The syndrome can be confused with embolic infarctions and atherosclerotic intracranial disease. The latter is more prominent in individuals of Asian and African American descent compared to Caucasians. |
Revised
11/30/06
Copyrighted 2006. David C Preston