Although peripheral vascular thrombic events are recognized as a serious ex
tra-intestinal complication of inflammatory bowel disease, the occurrence o
f cerebral vascular events in association with acute exacerbations of this
group of diseases is rare. In this article, relevant literature is reviewed
and three children,,5, 12, and 13 years of age, who presented with clinica
l and magnetic resonance imaging evidence of an acute cerebrovascular event
in association with an acute exacerbation of their inflammatory bowel dise
ase are described. Except for the presence of anemia, hematologic and coagu
lation studies were unremarkable, and a search for evidence of a systemic v
asculitis proved negative. (C) 2001 by Elsevier Science Inc. All rights res
erved.