Iaconetta G, Benvenuti D, Lamaida E, Gallicchio B, Signorelli F, Maiuri F
Institute of Neurosurgery, School of Medicine, University of Naples Federico II.
Acta Neurol (Napoli). 1994 Feb-Apr;16(1-2):64-9.
Polyarteritis nodosa (PN) is frequently cause of both central and peripheral neurological disorders. However, involvement of the central nervous system is rare at the beginning of the disease. In this paper we report a case of a 38-year-old woman hospitalized in our Neurosurgical Service because of left hemiparesis in presence of cutaneous arteritis (PN). At computed tomography (CT) an intracerebral hemorrhage was found. No radiographic evidences of vasculitis of the visible arterial branches, at angiography, were seen. Cerebral arteritis should be suspected as a cause for intracranial hemorrhage in patients without hypertension or other risk factors.
结节性多动脉炎（PN）常引发中枢和周围神经系统疾病。然而，在疾病初期中枢神经系统受累情况较为罕见。本文报告了一例38岁女性患者，因皮肤动脉炎（PN）伴左侧偏瘫入住我院神经外科。计算机断层扫描（CT）检查发现脑出血。血管造影未发现可见动脉分支血管炎的影像学证据。对于无高血压或其他危险因素的颅内出血患者，应怀疑脑动脉炎为病因。
