Périartérite noueuse révélée par une artérite cérébrale

Abstract

We report a case of periarteritis nodosa revealed by a cerebral angiitis which recovered under treatment. A 52-year-old patient suddenly presented with a left sensory syndrome and a fluctuating aphasia due to ischemia involving both parietal lobes. The diagnosis of periarteritis nodosa was based on the following criteria: severe loss of weight, renal insufficiency, hypertension, angiography suggesting an arteritis. Instead of an ileo-cecal perforation, the patient recovered under corticosteroid and immunosuppressive therapy. Stroke in periarteritis nodosa may occur early be and associated with a good outcome.