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- W2088967079 abstract "Dans le syndrome de Churg et Strauss, une atteinte du système nerveux central est exceptionnelle. Nous rapportons le cas d’une patiente âgée de 47 ans qui présentait depuis plusieurs mois une altération de l’état général, une bradypsychie et une multinévrite axonale sensitivo-motrice. Le contexte de polypose nasale, d’asthme, de troubles digestifs chroniques associé à une hyperéosinophilie sanguine et la présence d’anticorps anti-cytoplasmes des polynucléaires de type myélopéroxydase ont permis de poser le diagnostic de syndrome de Churg et Strauss. Un scanner X cérébral puis une imagerie par résonance magnétique cérébrale mirent en évidence deux hématomes simultanés, pariéto-occipital gauche et occipital droit, associés à une hémorragie sous-arachnoïdienne antérieure droite. L’artériographie confirmait la vasculite cérébrale. La patiente a bénéficié d’un traitement par bolus de corticoïdes et immuno-suppresseurs. In Churg and Strauss syndrome, the central nervous system is rarely affected. We describe the case of a 47-year-old woman who developed signs of altered health status, bradypsychie, and motor axonal multiple mononeuropathy. The context of paranasal sinusitis, asthma and chronic abdominal pains in addition to hypereosinophilia and antimyeloperoxydase antineutrophil cytoplasmic antibodies contributed to the diagnosis of Churg and Strauss syndrome. CT scan and magnetic resonance imaging of the brain revealed a left parieto-occipital and a right occipital hematoma and a right subarachnoïd hemorrhage. The cerebral vasculitis was explained by the central manifestation as shown with arteriography. The patient was treated with corticosteroids and immunosuppressors." @default.
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- W2088967079 date "2004-01-01" @default.
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- W2088967079 title "Manifestations neurologiques périphériques et centrales révélatrices d’un syndrome de Churg et Strauss" @default.
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- W2088967079 doi "https://doi.org/10.1016/s0035-3787(04)70853-x" @default.
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