Sahn E E, Sahn S A
Arch Intern Med. 1976 Jan;136(1):87-9.
Wegener granulomatosis, a necrotizing granulomatous vasculitis that characteristically involves the respiratory tract and the kidneys, may affect the nervous system. Despite the relative frequency of neurologic manifestations, there has not been a single report of Wegener granulomatosis manifesting as a cerebral vascular accident. Our patient had limited Wegener granulomatosis with aphasia as the symptom that was observed first. A dramatic recovery occurred after corticosteriod and cytotoxic therapy.
韦格纳肉芽肿病是一种坏死性肉芽肿性血管炎，其特征是累及呼吸道和肾脏，也可能影响神经系统。尽管神经系统表现相对常见，但尚无韦格纳肉芽肿病表现为脑血管意外的单一报道。我们的患者患有局限性韦格纳肉芽肿病，首发症状为失语。在使用皮质类固醇和细胞毒性药物治疗后病情显著好转。
