Henoch-schonlein Purpura Involving Cerebral Hemisphere.
- Author:
Byoung Soo SHIN
1
;
Dae Won SONG
;
Sang Hyo LEE
;
Man Wook SEO
;
Young Hyun KIM
Author Information
1. Department of Neurology, College of Medicine, Chon-Buk University, Korea.
- Publication Type:Original Article
- Keywords:
Henoch-Sch6nlein purpura;
Neurologic involvement
- MeSH:
Abdominal Pain;
Arthralgia;
Brain Edema;
Cerebrum*;
Electroencephalography;
Follow-Up Studies;
Hematuria;
Hemorrhage;
Humans;
Hypersensitivity;
Male;
Nervous System;
Neurologic Manifestations;
Proteinuria;
Purpura;
Purpura, Schoenlein-Henoch*;
Seizures;
Skin;
Vasculitis
- From:Journal of the Korean Neurological Association
1995;13(3):714-720
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Henoch-Schonlein Purfrura is a generalized small vessel vasculitis of hypersensitivity type characterized primarily by a purpuric skin lesion, renal involvementwith hematuria and proteinuria, arthralgia, and colicky abdominal pain. A possible neurologic involvement was recognized in 1914 by Osler. A case of a 7 1/2-year-old male patient with Henoch-Schonlein purpura developed neurologic manifestations including seizure and mental status change. The cranial CT demonstrated a occipital hemorrhage of right side and cerebral edema with contrast enhancing scattered dilated vessels. The EEGchanges were slow wave activities in acute stage. The follow-up EEG shows that the slow wave activities were more improved than previous and that multiple spike waves were recorded at bothfronto-temporo-parietal areas with phase reversals. The vasculitis of HenochSch6nlein purpura can involve the nervous system.
