Precis Future Med.  2019 Dec;3(4):176-180. 10.23838/pfm.2019.00114.

Recurrent cervicocephalic artery dissection in a patient with Churg-Strauss syndrome treated with long-term corticosteroid therapy

Affiliations
  • 1Department of Neurology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. hhhj7.kim@samsung.com

Abstract

Churg-Strauss syndrome (CSS) is known to mainly involve small vessels; thus, in the event of large-vessel disease, other causes must be taken into consideration. We report a case of CSS with recurrent arterial dissection of the cervicocephalic arteries. A 74-year-old man with CSS visited the emergency department because of sudden left hemiparesis. He had been taking corticosteroids as CSS treatment for 12 years. He had a confirmed right vertebral dissection 10 years before and a right distal internal carotid artery dissection 1 year before. As the arterial dissection occurred in the same vessel region a year before, a stent was deployed in the region. A large cervicocephalic artery dissection in patients with CSS that is well regulated with immunotherapy is likely caused by the long-term corticosteroid therapy weakening the vessel wall; therefore, replacement with the appropriate immunotherapy should be considered.

Keyword

Cerebral infarction; Churg-Strauss syndrome; Corticosteroids; Dissection

MeSH Terms

Adrenal Cortex Hormones
Aged
Arteries*
Carotid Artery, Internal, Dissection
Cerebral Infarction
Churg-Strauss Syndrome*
Emergency Service, Hospital
Humans
Immunotherapy
Paresis
Stents
Adrenal Cortex Hormones
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