J Korean Pediatr Soc.  2002 Dec;45(12):1601-1605.

A Case of Cerebral Vasculitis in Henoch-Sh nlein Purpura

• Lee SY
• Choung JM
• Hwang DJ
• Eun SH
• Hwang PH

Abstract

Henoch-Sh nlein Purpura(HSP) is an immuologically mediated systemic vasculitis of small blood vessels affecting predominantly the skin, gastrointestinal tract, joints, and kidneys. Clinical neurological manifestations such as headaches, behavioral changes, mental changes, seizures, and visual loss are described, but neurological complication are rare during the course of HSP. We experienced a case of an 8 year-old male with HSP who presented with seizures. Magnetic resonance imaging(MRI) showed multiple high signal intensity in both cortical and subcortical areas of frontal and parieto-occipital lobes and magnetic resonance(MR) angiogram showed stenosis of cerebral arteries, compatible with MRI and MR angiogram findings of cerebral vasculitis. We report this case with related literature.

Keyword

Henoch-Sh nlein purpura; Cerebral vasculitis

MeSH Terms

Blood Vessels
Cerebral Arteries
Child
Constriction, Pathologic
Gastrointestinal Tract
Headache
Humans
Joints
Kidney
Magnetic Resonance Imaging
Male
Neurologic Manifestations
Purpura*
Seizures
Skin
Systemic Vasculitis
Vasculitis, Central Nervous System*