OPTIC NEUROPATHY, HEADACHE, AND DIPLOPIA WITH MRI SUGGESTIVE OF CEREBRAL ARTERITIS IN RELAPSING POLYCHONDRITIS

The pathogenesis of central nervous system disease in relapsing polych ondritis (RPC) is unknown but may be related to cerebral arteritis. Pr evious reports have described clinical and histopathologic evidence of cerebral vasculitis in RPC; however, a neuroimaging correlate has not been reported. We present a 36-year-old man with neuro-ophthalmic fea tures of RPC whose magnetic resonance imaging revealed multifocal gray - and white-matter high intensities. This pattern is consistent with c erebral arteritis as described in other systemic vasculitides.