Squarza Silvia, Galli Alberto, Cariati Maurizio, Alberici Federico, Bertolini Valentina, Frediani Fabio, Uggetti Carla
Departments of 1Radiology, 2Neurology, 3Nephrology and Dialysis and 4Pathologic Anatomy, San Carlo Borromeo General Hospital, Italy.
Neuroradiol J. 2018 Apr;31(2):193-195. doi: 10.1177/1971400917700437. Epub 2017 Jul 24.
A 56-year-old man with behavioural disorders and facial-brachio-crural right hemiparesis presented with a brain lesion studied with computed tomography, magnetic resonance imaging and brain biopsy, leading to the diagnosis of cerebral vasculitis. Hepatitis C virus (HCV) infection in a phase of activity, without cryoglobulins, was also detected. Brain biopsy, laboratory analysis and response to a specific therapy supported the diagnosis of central nervous system vasculitis that was HCV related.
一名56岁男性,有行为障碍和右侧面部-臂-股偏瘫,因脑部病变接受了计算机断层扫描、磁共振成像和脑活检,最终诊断为脑血管炎。同时还检测到处于活动期的丙型肝炎病毒(HCV)感染,无冷球蛋白血症。脑活检、实验室分析及对特定治疗的反应均支持与HCV相关的中枢神经系统血管炎的诊断。