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Cerebral vasculitis leading to stroke in ulcerative colitis has rarely been reported.1 - 2 A 35-year-old woman with severe ulcerative colitis receiving cyclosporine and prednisolone sought care for right-sided weakness and unsteady gait lasting for 5 days. Diffusion brain magnetic resonance images showed infarction in the left anterior cerebral artery territory (Figure 1). Digital subtraction angiographic images of the intracranial vessels showed multiple areas of stenosis and dilatation (beaded appearance) involving the left middle cerebral, anterior cerebral, and posterior cerebral arteries (Figure 2). These appearances were strongly suggestive of cerebral vasculitis. Cyclosporine levels were in the nontoxic range. Magnetic resonance angiogram taken 1 month after cessation of cyclosporine showed similar findings.
Restricted diffusion in the left anterior cerebral artery territory consistent with an acute infarct.
Multiple areas of stenosis and dilatation in both posterior cerebral arteries.
Correspondence: Dr Pandian, Department of Neurology, Level 7, Ned Hanlon Building, Royal Brisbane and Women's Hospital, Herston Rd, Brisbane, QLD, Australia 4029 (jeyarajpandian@yahoo.co.in).
Author Contributions:Study concept and design: Pandian and Henderson. Acquisition of data: Pandian. Analysis and interpretation of data: O’Sullivan and Rajah. Drafting of the manuscript: Pandian and Rajah. Critical revision of the manuscript for important intellectual content:Pandian, Henderson, and O’Sullivan. Administrative, technical, and material support; Rajah. Study supervision;Pandian, Henderson, and O’Sullivan.
Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature
Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal
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