Primary Central Nervous System Vasculitis Following Alemtuzumab Treatment for Multiple Sclerosis

Author:

Varela Lucía1,Pappolla Agustín2,Heriz Alejandra1,Márquez Rocío1,Vega Otto1,Christiansen Silvia3,Rugiero Marcelo1,Midaglia Luciana2,Salerno Annalaura4,Tintoré Mar2,Rovira Àlex4

Affiliation:

1. Department of Neurology

2. Multiple Sclerosis Centre of Catalonia (Cemcat), Vall d’Hebron Barcelona Hospital Campus

3. Department of Pathology, Italian Hospital of Buenos Aires, Buenos Aires, Argentina

4. Section of Neuroradiology and Magnetic Resonance Unit, Department of Radiology (IDI), Vall d’Hebron Institut de Recerca, Hospital Universitari Vall d’Hebron, Universitat Autònoma de Barcelona, Barcelona, Spain

Abstract

Introduction:Cerebral vasculitides are often devastating conditions that require immediate diagnosis and treatment.Case report:We report a pathologically proven clinical case of primary central nervous system vasculitis in a 50-year-old man with a diagnosis of relapsing-remitting multiple sclerosis after alemtuzumab therapy, which required additional immunosuppression to control this life-threatening condition.Conclusion:In patients presenting subacute neurological deterioration after alemtuzumab therapy, primary central nervous system vasculitis should be considered as a differential diagnosis among other autoimmune conditions.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

General Medicine

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