Chapter

Neurologic Complications of Acute Vasculitic Syndromes

Eelco F. M. Wijdicks

in Neurologic Complications of Critical Illness

Published on behalf of © Mayo Foundation for Medical Education and Research

Published in print May 2009 | ISBN: 9780195371093
Published online April 2013 | e-ISBN: 9780199322886 | DOI: http://dx.doi.org/10.1093/med/9780195371093.003.0013

Series: Contemporary Neurology Series

Neurologic Complications of Acute Vasculitic Syndromes

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Vasculitis leads to repeated hospitalizations and impacts on quality of life. 1,2 Several occasions may arise for patients with a necrotizing vasculitis to be admitted to a medical or surgical ICU. With every visceral and organ involvement comes a potentially life-threatening condition, and often they occur simultaneously. These conditions are ischemic ulceration of the gut, pulmonary hemorrhage due to small vessel vasculitis or capillaritis, necrotizing nephritis, and myocarditis. In a recent series of 38 patients with small vessel vasculitis admitted to a medical ICU, alveolar hemorrhage was most prevalent. 3 In some patients, the adverse effects of immunosuppressive therapy to treat vasculitis may prompt intensive care. The disorders discussed in this chapter were chosen as typical of the problems that consulting neurologists may see in ICUs.

Chapter.  6934 words.  Illustrated.

Subjects: Neurology

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