Book contents
- Uncommon Causes of Stroke
- Uncommon Causes of Stroke
- Copyright page
- Contents
- List of Contributors
- Preface
- PART I: INFECTIOUS AND INFLAMMATORY CONDITIONS
- PART II: HEREDITARY AND GENETIC CONDITIONS AND MALFORMATIONS
- PART III: VASCULAR CONDITIONS OF THE EYES, EARS, AND BRAIN
- PART IV: DISORDERS INVOLVING ABNORMAL COAGULATION
- PART V: SYSTEMIC DISORDERS THAT ALSO INVOLVE THE CEREBROVASCULAR SYSTEM
- 43 MICROSCOPIC POLYANGIITIS AND POLYARTERITIS NODOSA
- 44 CHURG-STRAUSS SYNDROME
- 45 SYSTEMIC LUPUS ERYTHEMATOSUS
- 46 RHEUMATOID ARTHRITIS AND CEREBROVASCULAR DISEASE
- 47 HYPERVISCOSITY AND STROKE
- 48 CALCIUM, HYPERCALCEMIA, MAGNESIUM, AND BRAIN ISCHEMIA
- 49 STROKE AND SUBSTANCE ABUSE
- 50 CANCER AND PARANEOPLASTIC STROKES
- 51 KOHLMEIER-DEGOS’ DISEASE (MALIGNANT ATROPHIC PAPULOSIS)
- 52 STROKE IN PATIENTS WHO HAVE INFLAMMATORY BOWEL DISEASE
- 53 SWEET’S SYNDROME (ACUTE FEBRILE NEUTROPHILIC DERMATOSIS)
- 54 NEPHROTIC SYNDROME AND OTHER RENAL DISEASES AND STROKE
- 55 EPIDERMAL NEVUS SYNDROME
- 56 SNEDDON’S SYNDROME
- 57 MITOCHONDRIAL AND METABOLIC CAUSES OF STROKE
- 58 BONE DISORDERS AND CEREBROVASCULAR DISEASES
- 59 SCLERODERMA
- PART VI: NONINFLAMMATORY DISORDERS OF THE ARTERIAL WALL
- PART VII: VENOUS OCCLUSIVE CONDITIONS
- PART VIII: VASOSPASTIC CONDITIONS AND OTHER MISCELLANEOUS VASCULOPATHIES
- PART IX: OTHER MISCELLANEOUS CONDITIONS
- Index
46 - RHEUMATOID ARTHRITIS AND CEREBROVASCULAR DISEASE
from PART V: - SYSTEMIC DISORDERS THAT ALSO INVOLVE THE CEREBROVASCULAR SYSTEM
Published online by Cambridge University Press: 06 January 2010
Book contents
- Uncommon Causes of Stroke
- Uncommon Causes of Stroke
- Copyright page
- Contents
- List of Contributors
- Preface
- PART I: INFECTIOUS AND INFLAMMATORY CONDITIONS
- PART II: HEREDITARY AND GENETIC CONDITIONS AND MALFORMATIONS
- PART III: VASCULAR CONDITIONS OF THE EYES, EARS, AND BRAIN
- PART IV: DISORDERS INVOLVING ABNORMAL COAGULATION
- PART V: SYSTEMIC DISORDERS THAT ALSO INVOLVE THE CEREBROVASCULAR SYSTEM
- 43 MICROSCOPIC POLYANGIITIS AND POLYARTERITIS NODOSA
- 44 CHURG-STRAUSS SYNDROME
- 45 SYSTEMIC LUPUS ERYTHEMATOSUS
- 46 RHEUMATOID ARTHRITIS AND CEREBROVASCULAR DISEASE
- 47 HYPERVISCOSITY AND STROKE
- 48 CALCIUM, HYPERCALCEMIA, MAGNESIUM, AND BRAIN ISCHEMIA
- 49 STROKE AND SUBSTANCE ABUSE
- 50 CANCER AND PARANEOPLASTIC STROKES
- 51 KOHLMEIER-DEGOS’ DISEASE (MALIGNANT ATROPHIC PAPULOSIS)
- 52 STROKE IN PATIENTS WHO HAVE INFLAMMATORY BOWEL DISEASE
- 53 SWEET’S SYNDROME (ACUTE FEBRILE NEUTROPHILIC DERMATOSIS)
- 54 NEPHROTIC SYNDROME AND OTHER RENAL DISEASES AND STROKE
- 55 EPIDERMAL NEVUS SYNDROME
- 56 SNEDDON’S SYNDROME
- 57 MITOCHONDRIAL AND METABOLIC CAUSES OF STROKE
- 58 BONE DISORDERS AND CEREBROVASCULAR DISEASES
- 59 SCLERODERMA
- PART VI: NONINFLAMMATORY DISORDERS OF THE ARTERIAL WALL
- PART VII: VENOUS OCCLUSIVE CONDITIONS
- PART VIII: VASOSPASTIC CONDITIONS AND OTHER MISCELLANEOUS VASCULOPATHIES
- PART IX: OTHER MISCELLANEOUS CONDITIONS
- Index
Summary
Rheumatoid arthritis (RA) is an autoimmune disease that is characterized by an inflammatory, symmetric polyarthritis. The mechanisms by which RA patients are predisposed to stroke are varied. The most common of these causes is atherosclerotic disease, which seems to be accelerated by the underlying RA. The role of systemic inflammation in mediating atherosclerotic disease is becoming clear and may be the underlying link between RA and vascular events. Systemic vasculitis in RA involves the vasa nervorum of the peripheral nervous system. Meningeal and brain biopsy remains the gold standard in confirming a diagnosis of vasculitis in RA patients. Although there is a theoretical risk of mechanical injury to the vertebral artery due to cervical arthritis and atlantoaxial subluxation in RA, this most often results in cervical myelopathy. Stroke due to vertebral dissection has been reported in RA, but the vertebral artery occlusion was sometimes associated with only minimal atlantoaxial subluxation.
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- Uncommon Causes of Stroke , pp. 343 - 346Publisher: Cambridge University PressPrint publication year: 2008