[Cerebral angiitis and Goodpasture's syndrome]

Rev Neurol (Paris). 2003 Jan;159(1):68-70.
[Article in French]

Abstract

Goodpasture's syndrome is a form of rapidly progressive glomerulonephritis with pulmonary hemorrhage in the presence of antiglomerular basement membrane antibodies. Concomittant central nervous system manifestations are exceptionally reported. We report such a case of an 55-year-old woman who developed fluctuant neurobehavioral manifestations over a 9 months period. Angiography showed cerebral arterial distal lesions compatible with the diagnosis of angiitis. The antiglomerular basement membrane antibody titer was elevated. Search for anti-neutrophil cytoplasmic antibody was negative. After the reintroduction of cyclophosphamide agent, clinical evolution was favourable. Clinical cerebral manifestations in our case are probably du to a angiitis. Few cases are reported in the literature. The role of antiglomerular basement membrane antibody in the development of the cerebral angiitis is possible.

Publication types

  • Case Reports

MeSH terms

  • Anti-Glomerular Basement Membrane Disease / drug therapy
  • Anti-Glomerular Basement Membrane Disease / pathology*
  • Anti-Glomerular Basement Membrane Disease / psychology
  • Antineoplastic Agents, Alkylating / therapeutic use
  • Aphasia / etiology
  • Autoantibodies / analysis
  • Basement Membrane / immunology
  • Cerebral Angiography
  • Cerebral Arteries / diagnostic imaging
  • Cyclophosphamide / therapeutic use
  • Female
  • Humans
  • Middle Aged
  • Vasculitis, Central Nervous System / drug therapy
  • Vasculitis, Central Nervous System / pathology*
  • Vasculitis, Central Nervous System / psychology

Substances

  • Antineoplastic Agents, Alkylating
  • Autoantibodies
  • Cyclophosphamide