A Case of Syrian Child with Cerebral Infarction as an Extraintestinal Manifestation of Ulcerative Colitis

Thromboembolic complications are rare but well-recognized manifestation of ulcerative colitis, especially because of their associated high mortality. We report a case of a Syrian child admitted to Damascus Hospital with a one-day complaint of sudden onset of numbness followed by weakness in the left...

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Main Authors: Riham Salloum, Nawras Alhalabi, Mohamad Anas Almidani
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Case Reports in Gastrointestinal Medicine
Online Access:http://dx.doi.org/10.1155/2019/5984094
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author Riham Salloum
Nawras Alhalabi
Mohamad Anas Almidani
author_facet Riham Salloum
Nawras Alhalabi
Mohamad Anas Almidani
author_sort Riham Salloum
collection DOAJ
description Thromboembolic complications are rare but well-recognized manifestation of ulcerative colitis, especially because of their associated high mortality. We report a case of a Syrian child admitted to Damascus Hospital with a one-day complaint of sudden onset of numbness followed by weakness in the left lower and upper limbs, right mouth angle deviation, and loss of sphincters’ control. Earlier, she was diagnosed with ulcerative colitis and treated with immunosuppressants. CT and MRI scans revealed focal infarction around the M2-M3 segments of the right middle cerebral artery; she was treated with Aspirin. On discharge, she had significant improved neurological examination and was able to walk. Subsequent proctocolectomy was performed. We highlight the importance of thromboembolism in ulcerative colitis as there is paucity in the literature regarding its management and its symptoms may be overlooked especially in high-load central hospitals. We conducted a brief literature search and summarized findings of similar reported cases.
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spelling doaj-art-ebeec599cdb24539a6e595e1b8040a092025-08-20T02:21:49ZengWileyCase Reports in Gastrointestinal Medicine2090-65282090-65362019-01-01201910.1155/2019/59840945984094A Case of Syrian Child with Cerebral Infarction as an Extraintestinal Manifestation of Ulcerative ColitisRiham Salloum0Nawras Alhalabi1Mohamad Anas Almidani2Faculty of Medicine, Syrian Private University, Damascus, SyriaFaculty of Medicine, Syrian Private University, Damascus, SyriaFaculty of Medicine, Syrian Private University, Damascus, SyriaThromboembolic complications are rare but well-recognized manifestation of ulcerative colitis, especially because of their associated high mortality. We report a case of a Syrian child admitted to Damascus Hospital with a one-day complaint of sudden onset of numbness followed by weakness in the left lower and upper limbs, right mouth angle deviation, and loss of sphincters’ control. Earlier, she was diagnosed with ulcerative colitis and treated with immunosuppressants. CT and MRI scans revealed focal infarction around the M2-M3 segments of the right middle cerebral artery; she was treated with Aspirin. On discharge, she had significant improved neurological examination and was able to walk. Subsequent proctocolectomy was performed. We highlight the importance of thromboembolism in ulcerative colitis as there is paucity in the literature regarding its management and its symptoms may be overlooked especially in high-load central hospitals. We conducted a brief literature search and summarized findings of similar reported cases.http://dx.doi.org/10.1155/2019/5984094
spellingShingle Riham Salloum
Nawras Alhalabi
Mohamad Anas Almidani
A Case of Syrian Child with Cerebral Infarction as an Extraintestinal Manifestation of Ulcerative Colitis
Case Reports in Gastrointestinal Medicine
title A Case of Syrian Child with Cerebral Infarction as an Extraintestinal Manifestation of Ulcerative Colitis
title_full A Case of Syrian Child with Cerebral Infarction as an Extraintestinal Manifestation of Ulcerative Colitis
title_fullStr A Case of Syrian Child with Cerebral Infarction as an Extraintestinal Manifestation of Ulcerative Colitis
title_full_unstemmed A Case of Syrian Child with Cerebral Infarction as an Extraintestinal Manifestation of Ulcerative Colitis
title_short A Case of Syrian Child with Cerebral Infarction as an Extraintestinal Manifestation of Ulcerative Colitis
title_sort case of syrian child with cerebral infarction as an extraintestinal manifestation of ulcerative colitis
url http://dx.doi.org/10.1155/2019/5984094
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