Focal CNS vasculitis masquerading as new-onset focal aware seizures.


Journal

BMJ case reports
ISSN: 1757-790X
Titre abrégé: BMJ Case Rep
Pays: England
ID NLM: 101526291

Informations de publication

Date de publication:
27 Sep 2023
Historique:
pmc-release: 27 09 2025
medline: 29 9 2023
pubmed: 28 9 2023
entrez: 27 9 2023
Statut: epublish

Résumé

Primary angiitis of the central nervous system (PACNS) is an autoimmune disease with myriad presentations in the form of headache, focal neurological deficits, seizures and rapid cognitive decline. Predilection or isolated and recurrent involvement of one hemisphere is rarely described in literature. This leads to low clinical suspicion and often delayed diagnosis of PACNS, if clinical and radiological involvement is focal. We describe the case of a young man presenting with new-onset focal seizures with imaging suggestive of focal involvement and the brain biopsy clinched an early diagnosis. The 1-year follow-up showed clinical and radiological resolution.

Identifiants

pubmed: 37758658
pii: 16/9/e255535
doi: 10.1136/bcr-2023-255535
pmc: PMC10537825
pii:
doi:

Types de publication

Case Reports Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© BMJ Publishing Group Limited 2023. No commercial re-use. See rights and permissions. Published by BMJ.

Déclaration de conflit d'intérêts

Competing interests: None declared.

Auteurs

Deepti Vibha (D)

Department of Neurology, All India Institute of Medical Sciences, New Delhi, India.

Rajesh Kumar Singh (RK)

Department of Neurology, All India Institute of Medical Sciences, New Delhi, India drrajeshrims679@gmail.com.

Ajay Garg (A)

Department of Neuroradiology, All India Institute of Medical Sciences, New Delhi, India.

Manjari Tripathi (M)

Department of Neurology, All India Institute of Medical Sciences, New Delhi, India.

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