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Title: Acute subdural effusion in vasculitis
Authors: Raghavendra, Seetharam
Kamath, Vidya Madavana Venugopal
Sarada, C.
Radhakrishnan, Ashalatha
Kesavadas, Chandrasekharan
Krishnamoorthy, Thamburaj
Keywords: Neurology
Issue Date: 2008
Citation: NEUROLOGY INDIA. 56; 2; 195-197
Abstract: We report a 29-year-old man with a unique presentation of vasculitis as acute unilateral subdural effusion and meningoencephalitis. Magnetic resonance imaging showed a brainstem lesion that spread to the thalamus over time. There were no systemic features of vasculitis other than a positive pathergy test. Histopathological examination I from the pathergy site showed neutrophilic infiltrate and leucocytoclastic vasculitis. The condition was steroid responsive and he remained in remission at two years' follow-up. The anatomy of the brainstem lesion, absence of other inflammatory and infective conditions on evaluation suggests a vasculitic pathology either as primary central nervous system angiitis or as neurological presentation of systemic vasculitis like Behcet's disease although the international diagnostic criteria for Behcet's were not fulfilled.
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