与眼带状疱疹相关的血管炎中的霉菌性动脉瘤。
Mycotic aneurysm in angiitis associated with herpes zoster ophthalmicus.
作者信息
O'Donohue J M, Enzmann D R
出版信息
AJNR Am J Neuroradiol. 1987 Jul-Aug;8(4):615-9.
Abstract
Varicella zoster (VZ) is an unusual cause of CNS angiitis, usually occurring in older patients and immunocompromised hosts. The infection most commonly presents as herpes zoster ophthalmicus with contralateral hemiplegia. Mycotic aneurysm formation associated with VZ angiitis is rare. We report two cases of VZ angiitis with mycotic aneurysm formation (both aneurysms eventually ruptured) and one case of probable VZ angiitis with distal carotid occlusion and cerebral infarction. The CT and angiographic appearances, clinical course, and histopathology are presented.
摘要
水痘带状疱疹病毒（VZ）是中枢神经系统血管炎的一种罕见病因，通常发生于老年患者和免疫功能低下者。感染最常见的表现为眼部带状疱疹伴对侧偏瘫。与VZ血管炎相关的霉菌性动脉瘤形成罕见。我们报告了2例伴有霉菌性动脉瘤形成的VZ血管炎（2例动脉瘤最终均破裂）以及1例可能为VZ血管炎伴颈内动脉远端闭塞和脑梗死的病例。文中呈现了其CT、血管造影表现、临床病程及组织病理学情况。
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