Krummert Brett, Scherer Kurt, Whitley Jennifer, Sirelkhatim Abdelazim, Panda Mukta
Department of Internal Medicine, University of Tennessee College of Medicine Chattanooga, Chattanooga, Tennessee, USA.
BMJ Case Rep. 2010 Dec 1;2010:bcr0720103133. doi: 10.1136/bcr.07.2010.3133.
The authors report the case of a young man with no significant medical history who presented with new-onset seizure and mass-like lesions isolated to the left cerebral hemisphere relating to malignancy. Biopsy revealed findings consistent with angiitis and investigations for secondary causes of angiitis was negative. The diagnosis of primary angiitis of the central nervous system was made and the patient has responded well to treatment.
作者报告了一例无重大病史的年轻男性病例,该患者出现新发癫痫发作以及仅局限于左脑半球的类似肿块的病变,与恶性肿瘤相关。活检结果显示与血管炎相符,而对血管炎继发原因的检查为阴性。诊断为中枢神经系统原发性血管炎,患者对治疗反应良好。