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Year : 2022  |  Volume : 70  |  Issue : 2  |  Page : 839--840

Cerebral Angiography of Eosinophilic Granulomatosis with Polyangiitis

Yuya Kobayashi, Teruya Morizumi, Kiyoshiro Nagamatsu, Yusaku Shimizu 
 Department of Neurology, Ina Central Hospital, 1313-1, Ina, Nagano, Japan

Correspondence Address:
Dr. Yuya Kobayashi
Department of Neurology, Ina Central Hospital, 1313-1, Ina, Nagano, 396-8555
Japan




How to cite this article:
Kobayashi Y, Morizumi T, Nagamatsu K, Shimizu Y. Cerebral Angiography of Eosinophilic Granulomatosis with Polyangiitis.Neurol India 2022;70:839-840


How to cite this URL:
Kobayashi Y, Morizumi T, Nagamatsu K, Shimizu Y. Cerebral Angiography of Eosinophilic Granulomatosis with Polyangiitis. Neurol India [serial online] 2022 [cited 2022 Jun 25 ];70:839-840
Available from: https://www.neurologyindia.com/text.asp?2022/70/2/839/344617


Full Text



A 69-year-old woman was hospitalized with headache. Eosinophilic granulomatosis with polyangiitis (EGPA) was diagnosed based on asthma, ground-glass opacification observed upon lung CT imaging, elevated eosinophilia (1230/μL, 15% of total white blood cell), and sinusitis. Her headache was focused on the left of the nose. Magnetic resonance imaging and angiography showed no abnormalities such as stroke or hypertrophic pachymeningitis. Digital subtraction angiography (DSA) was performed before and after treatment. Spasm was detected on the intracranial peripheral artery and painful nose area. She was treated with steroids; pain and spasm improved [Figure 1].{Figure 1}

Evaluation of peripheral blood vessels, especially of those in the nasal region surrounded by bones, is difficult using methods other than DSA. EGPA causes vasculitis with eosinophil infiltration, including within brain arteries.[1] Cerebral infarction occurs in 7% of EGPA cases and can cause enlarged sequelae. [2] DSA can be used as reference for treatment and discovery of headache causes.

Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.

References

1Kenichiro H, Hideki S, Riyu K, Masashi T, Akane H, Keiji T, et al. Multiple cerebral infarction diagnosed as Eosinophilic Granulomatosis with Polyangiitis by autopsy. BMC Neurol 2019;19:288.
2Guillevin L, Cohen P, Gayraud M, Lhote F, Jarrousse B, Casassus P. Churg-Strauss syndrome. Clinical study and long-term follow-up of 96 patients. Medicine (Baltimore) 1999;78:26-37.