Intracranial hypertension related to cerebral venous thrombosis; and acute ischemic stroke with micro-infarcts associated with IgG4-related disease


Ekizoglu E., Coban O., Ulukan C., Ak D. G. , Dursun E., Tuzun E., ...More

INTERNATIONAL JOURNAL OF NEUROSCIENCE, vol.128, no.11, pp.1097-1099, 2018 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 128 Issue: 11
  • Publication Date: 2018
  • Doi Number: 10.1080/00207454.2018.1458728
  • Journal Name: INTERNATIONAL JOURNAL OF NEUROSCIENCE
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.1097-1099
  • Keywords: IgG4-related disease, ischemic stroke, cerebral venous thrombosis, MULTIFOCAL FIBROSCLEROSIS
  • Istanbul University Affiliated: Yes

Abstract

IgG4-related systemic disease (IgG4-RD) is characterized by an inflammatory reaction rich in IgG4-positive plasma cells, affecting multiple organs. This report describes a case who was diagnosed with IgG4-RD, having cerebral venous thrombosis and a subsequent acute ischemic stroke of undetermined cause. A 47-year-old woman presented with headache, visual disturbance and eyelid swelling and two years later she was admitted with acute attacks of mild left lower limb sensory-motor monoparesis. Indirect immunohistochemistry assay showed elevated level of IgG4, labeling neurons of the central nervous system, suggesting an immunological process possibly affecting vascular structures. Our experience suggests that IgG4-RD may be considered in patients with ischemic stroke and cerebral venous system involvement.