Kendall B
Eur Neurol. 1984;23(6):400-6. doi: 10.1159/000115721.
Of 199 patients with clinico-laboratory evidence of vasculitis, 42 were submitted to cerebral angiography; 35 angiograms were abnormal, but only 21 were characteristic of the particular disease process. A pattern consistent with vasculitis diagnosed in 19 angiograms, was due to neoplasm in 4 and neurofibromatosis, DXT and amphetamines each in 1 case. Moya-Moya type collaterals shown in 20 angiograms were due to the idiopathic disease in 10 but due to non-inflammatory pathologies in 7. Fibromuscular dysplasia shown in 28 angiograms was an incidental finding in 20 of these. Of 56 cerebral angiograms for ischaemic stroke in patients under 15 years old, 17 were normal and only 8 vascular lesions were likely to have been of inflammatory origin. In routine clinical practice cerebral angiography, though essential in the management of mycotic aneurysm and in the diagnosis of Moya-Moya disease isolated vasculitis and fibromuscular dysplasia, plays only a limited role in the diagnosis of other types of vasculitis.
在199例有血管炎临床实验室证据的患者中，42例接受了脑血管造影；35例血管造影异常，但只有21例具有特定疾病过程的特征。19例血管造影显示与诊断的血管炎一致的模式，其中4例是由于肿瘤，1例是由于神经纤维瘤病、右旋安非他命和苯丙胺各1例。20例血管造影显示的烟雾病样侧支循环，10例是由于特发性疾病，7例是由于非炎症性病变。28例血管造影显示的纤维肌发育不良，其中20例是偶然发现。在15岁以下缺血性脑卒中患者的56例脑血管造影中，17例正常，只有8例血管病变可能是炎症性起源。在常规临床实践中，脑血管造影虽然在真菌性动脉瘤的管理和烟雾病、孤立性血管炎及纤维肌发育不良的诊断中至关重要，但在其他类型血管炎的诊断中作用有限。
