A Pediatric Case of Nonprogressive Idiopathic Central Vasculitis: A Spectrum of Clinical Presentations

In children, the causes of cerebral infarction are varied, and accurate diagnosis and treatment are imperative. An early school-age boy was brought to our hospital due to seizures and impaired consciousness. He was diagnosed with cerebral infarction due to primary central nervous system vasculitis (...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2024-10, Vol.16 (10), p.e71380
Main Authors: Nozaki, Takuro, Tomari, Kouki, Matsuoka, Tsuyoshi, Taketomi, Hirohisa
Format: Article
Language:English
Subjects:
Antibodies
Biopsy
Consciousness
Convulsions & seizures
Disease
Headaches
Immunosuppressive agents
Magnetic resonance imaging
Medical imaging
Nervous system
Neurology
Patients
Pediatrics
Rehabilitation
Stroke
Tomography
Veins & arteries
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Summary:In children, the causes of cerebral infarction are varied, and accurate diagnosis and treatment are imperative. An early school-age boy was brought to our hospital due to seizures and impaired consciousness. He was diagnosed with cerebral infarction due to primary central nervous system vasculitis (PCNSV) based on increased inflammatory response and circumferential vessel wall thickening in his right middle cerebral artery. As the neurological abnormalities had already improved at the time of diagnosis, he was administered conservative treatment without worsening. This treatment is an option for patients with clinically nonprogressive PCNSV. Some cases of clinically nonprogressive PCNSV and reversible vasoconstriction syndrome can have similar clinical presentations.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.71380