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一例罕见的中枢神经系统血管炎病例。

An unusual case of central nervous system vasculitis.

作者信息

Kattah J C, Cupps T R, Di Chiro G, Manz H J

出版信息

J Neurol. 1987 Jun;234(5):344-7. doi: 10.1007/BF00314293.

DOI:10.1007/BF00314293
PMID:3612207
Abstract

A patient with CNS vasculitis limited to small vessels is described. Initial spinal cord involvement with paraparesis was followed by multifocal cerebral and cerebellar involvement, depicted by magnetic resonance imaging (MRI). She also had recurrent cerebral bleeding. A diagnosis of vasculitis was made by cerebral biopsy. Immunosuppressive therapy resulted in clinical improvement and resolution of the MRI abnormalities.

摘要

本文描述了一名中枢神经系统血管炎仅限于小血管的患者。最初表现为脊髓受累伴下肢轻瘫,随后磁共振成像(MRI)显示多灶性脑和小脑受累。她还反复发生脑出血。通过脑活检确诊为血管炎。免疫抑制治疗使临床症状改善,MRI异常消失。

相似文献

1
An unusual case of central nervous system vasculitis.一例罕见的中枢神经系统血管炎病例。
J Neurol. 1987 Jun;234(5):344-7. doi: 10.1007/BF00314293.
2
Isolated angiitis of the central nervous system. Prospective diagnostic and therapeutic experience.中枢神经系统孤立性血管炎。前瞻性诊断与治疗经验。
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[Isolated angiitis of the central nervous system. Clinical and neuropathological study of 2 cases].[中枢神经系统孤立性血管炎。2例临床及神经病理学研究]
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引用本文的文献

1
Primary angiitis of the CNS mimicking a spinal cord tumour.酷似脊髓肿瘤的中枢神经系统原发性血管炎。
J Neurol. 2008 Dec;255(12):1970-2. doi: 10.1007/s00415-009-0853-y. Epub 2009 Jan 23.
2
Spinal cord involvement in primary angiitis of the central nervous system: a report of two cases.脊髓受累于中枢神经系统原发性血管炎:两例报告。
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本文引用的文献

1
GRANULOMATOUS ANGIITIS OF THE NERVOUS SYSTEM.
Arch Pathol. 1963 Sep;76:250-6.
2
Isolated angiitis of the central nervous system. Prospective diagnostic and therapeutic experience.中枢神经系统孤立性血管炎。前瞻性诊断与治疗经验。
Am J Med. 1983 Jan;74(1):97-105. doi: 10.1016/0002-9343(83)91125-7.
3
Cerebral granulomatous angiitis with atypical features.具有非典型特征的脑肉芽肿性血管炎。
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Granulomatous angiitis of the central nervous system.中枢神经系统肉芽肿性血管炎
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Giant cell granulomatous angiitis of the central nervous system.中枢神经系统巨细胞肉芽肿性血管炎
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Granulomatous giant-celled angiitis of the central nervous system.中枢神经系统肉芽肿性巨细胞性血管炎
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Isolated angiitis of the central nervous system.中枢神经系统孤立性血管炎
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Case records of the Massachusetts General Hospital. Weekly clinicopathological exercises. Case 35-1985. Abrupt onset of headache followed by rapidly progressive encephalopathy in a 30-year-old woman.马萨诸塞州总医院病例记录。每周临床病理讨论。病例35 - 1985。一名30岁女性突发头痛后迅速进展为脑病。
N Engl J Med. 1985 Aug 29;313(9):566-75. doi: 10.1056/NEJM198508293130908.
10
Isolated spinal cord arteritis.孤立性脊髓动脉炎
Can J Neurol Sci. 1975 May;2(2):143-46. doi: 10.1017/s031716710002014x.