Simonetti C, Bechini F
Divisione Neurologica del Civico Ospedale di Carrara.
Riv Neurol. 1988 Sep-Oct;58(5):180-2.
The polyarteritis nodosa (P.A.N.) is frequently responsible of neurological disorders, both central and peripheral. However an involvement of the Central Nervous System is unusual at the beginning of the disease. Such particular case is reported having occurred in a man aged 49, struck by a subarachnoidal hemorrhage, which was an initial symptom of P.A.N. The differential diagnosis is not always easy in such cases, since the clinical findings could be mistaken for those of a subarachnoidal hemorrhage due to a malformed vessel rupture.
结节性多动脉炎(P.A.N.)常引发中枢和外周神经系统疾病。然而,在疾病初期,中枢神经系统受累并不常见。本文报告了一例49岁男性患者,其首发症状为蛛网膜下腔出血,而这正是结节性多动脉炎的表现。在这种情况下,鉴别诊断并不总是容易的,因为临床表现可能会被误诊为因血管畸形破裂导致的蛛网膜下腔出血。