Systemic pANCA-associated vasculitis with central nervous involvement causing recurrent myelitis: case report

Alexander J Hamilton, Duncan J Whitehead, Matthew D Bull, Richard J D'Souza

Research output: Contribution to journalArticle (Academic Journal)peer-review

5 Citations (Scopus)

Abstract

BACKGROUND: We report on the case of an established perinuclear antineutrophil cytoplasmic antibody (pANCA) associated renal vasculitis being treated with prednisolone and rituximab, where the patient presented with leg weakness, urinary and faecal incontinence and buttock pain consistent with transverse myelitis.

CASE PRESENTATION: The patient underwent MRI scanning showing patchy cord enhancement from T10 to the conus, which was suggestive of a cord malignancy. Prior to a cord biopsy, he was treated with steroids and a repeat MRI showed resolution of the original lesion with a new similar lesion from C7 to T3.

CONCLUSIONS: He made a marked recovery after further treatment with high dose steroids and plasma exchange.

Original languageEnglish
Pages (from-to)118
JournalBMC Neurology
Volume10
DOIs
Publication statusPublished - 2010

Keywords

  • Aged
  • Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Methylprednisolone
  • Myelitis
  • Plasma Exchange
  • Treatment Outcome
  • Vasculitis, Central Nervous System

Fingerprint Dive into the research topics of 'Systemic pANCA-associated vasculitis with central nervous involvement causing recurrent myelitis: case report'. Together they form a unique fingerprint.

Cite this