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RESEARCH PRODUCT

Endovascular Management, with the Use of Solitaire Stent as the First-Line Treatment for Cerebral Vasculitis: A Case Report

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Cerebral vasculitis that comprises a group of noninfectious inflammatory vasculitides, can produce a variety of neurologic events, including also life-threatening ones. In this paper we describe the case report of a 37-year-old female patient with cerebral vasculitis manifesting as ischemic stroke of the left cerebral hemisphere. Her clinical status deteriorated, despite immunosuppression. CT angiography demonstrated several occlusions of intracranial arteries. We describe details of endovascular revascularization of intracranial arteries in this patient, with focus at the use of the Solitaire stent, which seems to be particularly useful in such challenging cases. After endovascular repair this patient significantly improved, yet this improvement lasted only 2 months. Then there was a relapse of cerebral vasculitis, which finally resulted in fatal outcome. In our opinion, endovascular treatment for life-threatening cerebral vasculitis should primarily be seen as a treatment that is supplementary to pharmacological management of the autoimmune process.