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Mimics of CNS vasculitis in adults and children

Mimics of CNS vasculitis in adults and children
Mimics of angiography-positive CNS vasculitis in children
  • Noninflammatory CNS vasculopathies: Dissection, thrombembolic disease, hemoglobin disorders, aPL syndrome, fibromuscular dyplasia, collagen vascular disorders, focal cerebral angiopathy (Marfan syndrome, Ehlers-Danlos syndrome, among others), Moyamoya disease (idiopathic)
  • Conditions associated with cerebral vasospasms: Channelopathies including familiar hemiplegic migraine and calcium channelopathy, reversible vasoconstrictive syndrome
  • Genetic syndromes with associated vasculopathy: Neurofibromatosis type 1, Down syndrome, PHACES, CADASIL, Fabry disease, homocysteinuria
  • Other syndromes with associated cerebral vasculopathy: Cogan syndrome (vasculopathy plus inflammatory eye disease [interstitial keratitis] and vestibularauditory dysfunction), Susac syndrome (noninflammatory vasculopathy resulting in retinopathy, hearing loss and encephalopathy)
Mimics of angiography-negative CNS vasculitis in children
  • Nonvasculitic inflammatory brain diseases: Demyelinating diseases (acute demyelinating encephalomyelitis, MS, optic neuritis), antibody-mediated inflammatory brain diseases (anti-NMDAR encephalitis, antibody-mediated limbic encephalitis, neuromyelitis optica, Hashimoto encephalitis, postmycoplasma encephalitis, celiac disease-associated encephalitis, PANDAS), T cell-mediated inflammatory brain diseases (Rasmussen encephalitis), granulomatous inflammatory brain diseases (neurosarcoidosis, ANCA-associated vasculitis)
  • Infections: Tuberculosis, JC virus
  • Metabolic diseases with associated inflammatory or ischemic brain lesions: MELAS, ROME, polymerase gamma deficiency
  • Malignancies: Angiocentric lymphoma
Mimics of angiography-positive CNS vasculitis in adults
  • Arteriosclerosis
  • Vasospastic diseases: Reversible vasoconstriction syndrome; migraines; vasospasms secondary to hypertension, drug exposure, subarachnoid hemorrhage, eclapsia, pheochromocytoma
  • Thrombembolic disease, bacterial endocarditis
  • Hemoglobin disorders
  • Antiphospholipid antibody syndrome
  • Fibromuscular dyplasia
  • Genetic diseases associated with obliterating cerebral vasulopathies: Degos disease, retinocerebral vasculopathy with cerebral leucodystrophy
  • Other syndromes with associated cerebral vasculopathy: Cogan syndrome, Susac syndrome, Sneddon syndrome (progressive noninflammatory cerebral arteriopathy and livedo)
Mimics of angiography-negative CNS vasculitis in adults
  • Demyelinating diseases (MS, optic neuritis)
  • Antibody-mediated inflammatory brain diseases: Anti-NMDAR encephalitis, antibody-mediated limbic encephalitis, neuromyelitis optica, Hashimoto encephalitis, postmycoplasma encephalitis, celiac disease-associated encephalitis
  • T cell-mediated inflammatory brain diseases: Rasmussen encephalitis
  • Granulomatous inflammatory brain diseases: Neurosarcoidosis, ANCA-associated vasculitis
  • Infections: Tuberculosis; JC virus, syphilis
  • Autoinflammatory syndromes: FMF
  • Malignancies
CNS: central nervous system; aPL: antiphospholipid antibody; PHACES: posterior fossa malformations-hemangiomas-arterial anomalies-cardiac defects-eye abnormalities-sternal cleft and supraumbilical raph syndrome; CADASIL: cerebral autosomal dominant arteriopathy with subcortical infarcts and leucoencephalopathy; MS: multiple sclerosis; NMDAR: N‑methyl d‑aspartate receptor; PANDAS: pediatric autoinflammatory neuropsychiatric disorder associated with streptococcal infections; ANCA: antineutrophil cytoplasmic antibody; MELAS: mitochondrial encephalopathy lactic acidosis and stroke-like episodes; ROME: rolandic mitochondrial encephalomyopathy; FMF: familial Mediterranean fever.
Reprinted by permission from Macmillan Publishers Ltd: Nature Reviews Rheumatology. Twilt M, Benseler S. The spectrum of CNS vasculitis in children and adults. Nat Rev Rheumatol 2012; 8:97. Copyright © 2012. www.nature.com/nrrheum.
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