Jiménez Caballero P E, Segura Martín T
Department of Neurology, Hospital Virgen de la Salud, Toledo, Spain.
Eur J Neurol. 2007 Jun;14(6):683-5. doi: 10.1111/j.1468-1331.2007.01726.x.
Wegener granulomatosis is a systemic vasculitis that mainly affects the upper and lower respiratory tract and the kidneys. The presence of an ischemic stroke in this disease is very rare. A 40-year-old man, smoker with cavitated lesions in both lungs, and inflammation in the nasal mucosa and vocal cords developed an ischemic stroke in the left middle cerebral artery, with the etiological study showing non-bacterial endocarditis. Non-bacterial endocarditis can appear in patients with Wegener granulomatosis, with this being the first case of this cardioembolism reported in this disease.
韦格纳肉芽肿病是一种主要累及上、下呼吸道及肾脏的系统性血管炎。该病出现缺血性卒中极为罕见。一名40岁男性,有吸烟史,双肺出现空洞性病变,鼻黏膜及声带存在炎症,发生了左侧大脑中动脉缺血性卒中,病因学研究显示为非细菌性心内膜炎。非细菌性心内膜炎可出现在韦格纳肉芽肿病患者中,这是该疾病中报道的首例这种心脏栓塞病例。