Central nervous system vasculitis: advances in diagnosis.


Journal

Current opinion in rheumatology
ISSN: 1531-6963
Titre abrégé: Curr Opin Rheumatol
Pays: United States
ID NLM: 9000851

Informations de publication

Date de publication:
01 2020
Historique:
pubmed: 28 10 2019
medline: 26 1 2021
entrez: 26 10 2019
Statut: ppublish

Résumé

The main purpose of this review is to present advances in diagnostics of central nervous system vasculitis (CNS-V). Progress in molecular technologies and neuroimaging have added formidably to our knowledge of CNS-V. Next-generation sequencing has the promise to enhance our ability to diagnose, interrogate, and track infectious diseases, making this test attractive and capable of avoiding brain biopsy in cases where CNS infections are suspected. Further the continuum of neuroimaging progress has advanced our ability to diagnose CNS-V. Our capability to visualize the vessel wall have added a great value in differentiating inflammatory from noninflammatory vasculopathies. New genetic variations are being exposed with exome and genome sequences which will aid future diagnosis. We have witnessed tremendous advances in CNS-V mainly by our ability to rule out mimics. Progress in molecular technologies, neuroimaging and genetic studies will continue to enhance the field further.

Identifiants

pubmed: 31652165
doi: 10.1097/BOR.0000000000000676
pii: 00002281-202001000-00008
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

41-46

Références

Cravioto H, Feigin I. Noninfectious granulomatous angiitis with a predilection for the nervous system. Neurology 1959; 9:599–609.
Hajj-Ali RA, Saygin D, Ray E, et al. Long-term outcomes of patients with primary angiitis of the central nervous system. Clin Exp Rheumatol 2019; 37: (Suppl 117): 45–51.
Richards A, Van Den Maagdenberg AMJM, Jen JC, et al. C-terminal truncations in human 3′-5′ DNA exonuclease TREX1 cause autosomal dominant retinal vasculopathy with cerebral leukodystrophy. Nat Genet 2007; 39:1068–1070.
Hajj-Ali RA, Singhal AB, Benseler S, et al. Primary angiitis of the CNS. Lancet Neurol 2011; 10:561–572.
Byram K, Hajj-Ali RA, Calabrese L. CNS vasculitis: an approach to differential diagnosis and management. Curr Rheumatol Rep 2018; 20:37.
Strunk D, Schmidt-Pogoda A, Beuker C, et al. Biomarkers in vasculitides of the nervous system. Front Neurol 2019; 10:591.
Deb-Chatterji M, Schuster S, Haeussler V, et al. Primary angiitis of the central nervous system: new potential imaging techniques and biomarkers in blood and cerebrospinal fluid. Front Neurol 2019; 10:568.
Mandel-Brehm C, Retallack H, Knudsen GM, et al. Exploratory proteomic analysis implicates the alternative complement cascade in primary CNS vasculitis. Neurology 2019; 93:e433–e444.
Thom V, Schmid S, Gelderblom M, et al. IL-17 production by CSF lymphocytes as a biomarker for cerebral vasculitis. Neurol Neuroimmunol NeuroInflammation 2016; 3:e214.
Noack M, Miossec P. Th17 and regulatory T cell balance in autoimmune and inflammatory diseases. Autoimmun Rev 2014; 13:668–677.
Saadoun D, Garrido M, Comarmond C, et al. Th1 and Th17 cytokines drive inflammation in takayasu arteritis. Arthritis Rheumatol 2015; 67:1353–1360.
Nogueira E, Hamour S, Sawant D, et al. Serum IL-17 and IL-23 levels and autoantigen-specific Th17 cells are elevated in patients with ANCA-associated vasculitis. Nephrol Dial Transplant 2010; 25:2209–2217.
Ruland T, Wolbert J, Gottschalk MG, et al. Cerebrospinal fluid concentrations of neuronal proteins are reduced in primary angiitis of the central nervous system. Front Neurol 2018; 9:407.
Tyler KL. What's next (generation) for the diagnosis of chronic meningitis? JAMA Neurol 2018; 75:915–917.
Wilson MR, O’Donovan BD, Gelfand JM, et al. Chronic meningitis investigated via metagenomic next-generation sequencing. JAMA Neurol 2018; 75:947–955.
Wilson MR, Shanbhag NM, Reid MJ, et al. Diagnosing balamuthia mandrillaris encephalitis with metagenomic deep sequencing. Ann Neurol 2015; 78:722–730.
Swartz RH, Bhuta SS, Farb RI, et al. Intracranial arterial wall imaging using high-resolution 3-tesla contrast-enhanced MRI. Neurology 2009; 72:627–634.
Obusez EC, Hui F, Hajj-ali RA, et al. High-resolution MRI vessel wall imaging: spatial and temporal patterns of reversible cerebral vasoconstriction syndrome and central nervous system vasculitis. Am J Neuroradiol 2014; 35:1527–1532.
Mossa-Basha M, Hwang WD, De Havenon A, et al. Multicontrast high-resolution vessel wall magnetic resonance imaging and its value in differentiating intracranial vasculopathic processes. Stroke 2015; 46:1567–1573.
Kretschmer S, Lee-Kirsch MA. Type I interferon-mediated autoinflammation and autoimmunity. Curr Opin Immunol 2017; 49:96–102.
Stam AH, Kothari PH, Shaikh A, et al. Retinal vasculopathy with cerebral leukoencephalopathy and systemic manifestations. Brain 2016; 139:2909–2922.
Triplett JD, Buzzard KA, Lubomski M, et al. Immune-mediated conditions affecting the brain, eye and ear (BEE syndromes). J Neurol Neurosurg Psychiatry 2019; 90:882–894.

Auteurs

Rula A Hajj-Ali (RA)

Department of Rheumatic and Immunologic Diseases, Orthopedic and Rheumatologic Institute, Cleveland Clinic, Cleveland, Ohio, USA.

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