DOI: http://dx.doi.org/10.18203/2349-3291.ijcp20173805

A diagnostic dilemma of two rare stroke mimics in a pediatric patient

Nidheesh Cheeyancheri Chencheri, Pawan Subhash Kashyape, Sonia Khamis, Maha Mohammed Elamin Agna

Abstract


A seven and half year-old male patient presented with clinical symptoms suggestive of stroke. However, the MRI showed atypical lesions in non-vascular distribution and with varying ages. This led to extensive investigations, which suggested a differential diagnosis of CNS neurosarcoidosis and primary CNS vasculitis. Both these are exceedingly rare conditions needing tissue diagnosis and prolonged immunosuppression


Keywords


Neurosarcoidosis, Stroke mimics, Vasculitis

Full Text:

PDF

References


Lynch JK, Hirtz DG, DeVeber G, Nelson KB. Report of the National Institute of Neurological Disorders and Stroke workshop on perinatal and childhood stroke. Pediatrics. 2002;109:116-23.

Shellhaas RA, Smith SE, O’Tool E, Licht DJ, Ichord RN. Mimics of childhood stroke: characteristics of a prospective cohort. Pediatrics. 2006;118(2):704-9.

Carvalho KS, Garg BP. Arterial strokes in children. Neurologic Clinics. 2002;20(4):1079-1100.

Khoury J, Wellik KE, Demaerschalk BM, Wingerchuk DM, Cerebrospinal fluid angiotensin-convertingenzyme fordiagnosis of central nervous system sarcoidosis. Neurologist. 2009;15:108-11.

Alrawi A, Trobe JD, Blaivas M, Musch DC. Brain biopsy in primary angiitis of the centralnervous system. Neurology. 1999;53:85-60.

Zajicek JP, Scolding NJ, Foster O, Rovaris M, Evanson J, Moseley IF, et al. Central nervous system sarcoidosis-diagnosis and management. QJM. 1999;92:103-17.