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September 1977

Hemorrhagic Complications of Cerebral Arteritis

Arch Neurol. 1977;34(9):549-552. doi:10.1001/archneur.1977.00500210051008

• Intracranial hemorrhage occurred in two patients with cerebral arteritis. One patient with methamphetamine-induced necrotizing angiitis had a spontaneous subarachnoid hemorrhage without an aneurysm. A second patient with ulcerative colitis developed an intracerebral hematoma. Carotid angiography demonstrated a diffuse arteritis in each patient. The risks of bleeding associated with cerebral arteritis are discussed. The use of anticoagulants should be avoided. Cerebral arteritis should be suspected as a cause for intracranial hemorrhage.