Pontine infarction in acute posterior multifocal placoid pigment epitheliopathy

J Neurol. 1993 Nov;241(1):22-6. doi: 10.1007/BF00870667.


In a patient with acute posterior multifocal placoid pigment epitheliopathy (APMPPE), a pontine infarction occurred about 6 months after the ophthalmological manifestation. We report the first case with histopathologically proven vasculitis shown by muscle biopsy and the first positron emission tomographic documentation in APMPPE. The ophthalmological and cerebral symptoms responded well to steroid treatment. Long-term immunosuppression (e.g. azathioprine 1-2 mg/kg) seems to decrease the risk of recurrent systemic vasculitis.

Publication types

  • Case Reports

MeSH terms

  • Acute Disease
  • Adult
  • Arterioles
  • Cerebral Infarction / diagnostic imaging
  • Cerebral Infarction / etiology*
  • Choroid Diseases / complications*
  • Conjunctivitis, Viral / complications
  • Fluorescein Angiography
  • Humans
  • Ischemia / etiology*
  • Male
  • Pigment Epithelium of Eye / blood supply*
  • Pons / blood supply*
  • Pons / diagnostic imaging
  • Tomography, Emission-Computed
  • Vasculitis / complications*