Lahl R
Z Gesamte Inn Med. 1978 Dec 1;33(23):861-5.
It is reported on 3 observations of isolated granulomatous angiitis of the central nervous system. The case in question was in two 42-year-old men a granulomatous giant cell arteriitis with exclusive affection of the intracranial arteries. In a 33-year-old woman (case 3) there existed a granulomatous angiitis in generalised cerebrospinal granulomatous epitheloid-cellular inflammation (sarcoidosis) of the central nervous system with participation of bifurcal lymph nodes and of the lung. In all the three reports the diagnosis could be made only by autopsy. Clinic, pathomorphology, and diagnostic difficulties are described.
据报道有3例中枢神经系统孤立性肉芽肿性血管炎的观察病例。其中2例为42岁男性,患有肉芽肿性巨细胞动脉炎,仅累及颅内动脉。1例33岁女性(病例3)存在肉芽肿性血管炎,伴有中枢神经系统广泛性脑脊髓肉芽肿性上皮样细胞炎症(结节病),双侧淋巴结及肺部也有病变。在所有这3例报告中,均只能通过尸检做出诊断。文中描述了临床症状、病理形态学及诊断难点。