Henoch-schonlein Purpura Involving Cerebral Hemisphere
                                                         
Byoung Soo Henoch-sch6nlein Purpura Involving

J Korean Neurol Assoc > Volume 13(3); 1995 > Article

Journal of the Korean Neurological Association 1995;13(3): 714-720.

대뇌를 침범한 Henoch-Schonlein 자반증

신병수, 송대원, 이상효, 서만욱, 김영현

전북대학교 신경과

Henoch-schonlein Purpura Involving Cerebral Hemisphere Byoung Soo Henoch-sch6nlein Purpura Involving

Byoung Soo Shin, M.D., Dae Won Song, M.D., Sang Hyo Lee, M.D., Man Wook Seo, M.D., Young Hyun Kim, M.D.

Department of Neurology, College of Medicine, Chon-Buk University

Abstract

Henoch-Schonlein Purfrura is a generalized small vessel vasculitis of hypersensitivity type characterized primarily by a purpuric skin lesion, renal involvementwith hematuria and proteinuria, arthralgia, and colicky abdominal pain. A possible neurologic involvement was recognized in 1914 by Osler. A case of a 7 1/2 -year-old male patient with Henoch-Schonlein purpura developed neurologic manifestations including seizure and mental status change. The cranial CT demonstrated a occipital hemorrhage of right side and cerebral edema with contrast enhancing scattered dilated vessels. The EEGchanges were slow wave activities in acute stage. The follow-up EEG shows that the slow wave activities were more improved than previous and that multiple spike waves were recorded at bothfronto-temporo-parietal areas with phase reversals. The vasculitis of HenochSch6nlein purpura can involve the nervous system. Key Words : Henoch-Sch6nlein purpura, Neurologic involvement