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[中枢神经系统受累于原发性血管炎——6例患者的个人临床形态学研究]

[CNS involvement in primary angiitis--personal clinicomorphologic studies of 6 cases].

作者信息

Lahl R, Kissig B, Tertsch D

出版信息

Psychiatr Neurol Med Psychol (Leipz). 1985 Jul;37(7):400-9.

PMID:4048303
Abstract

We report on the clinical symptomatology, diagnostic difficulty and inadequate possibilities for treatment of 6 patients suffering from primary agiitis of intracranial vessels. They died at age 36 to 64 years. The duration of the disease varied between 6 weeks and 11 1/2 years and was diagnosed, autoptically in all cases, as giant cell angiitis (2 cases) and, trombangiitis obliterans (4 cases). A degenerative cerebrovascular process had already been assumed clinically in four of the cases, and intracranial veins were also involved in three (very distinctly in one). The vascular disease was generalised or multilocular in four observations. Although autoimmunological processes were probably involved, the etiopathogenesis is still, in the final analysis, more or less unknown.

摘要

我们报告了6例原发性颅内血管炎患者的临床症状、诊断困难及治疗手段的不足。他们的年龄在36至64岁之间死亡。病程在6周至11年半之间,所有病例经尸检诊断为巨细胞性血管炎(2例)和闭塞性血栓性血管炎(4例)。临床上已推测4例患者存在退行性脑血管病变,3例患者的颅内静脉也受累(其中1例受累非常明显)。在4例观察中,血管疾病为全身性或多灶性。虽然可能涉及自身免疫过程,但归根结底,其病因发病机制或多或少仍不清楚。

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