Primary angiitis of the central nervous system: a case report.
- Author:
Xiao-lin YU
1
;
Ai-fen LIU
;
Lin MA
;
Chuan-zhu YAN
;
Yu-ying ZHAO
;
Pei-yan SHAN
Author Information
1. Department of Geriatrics, Qilu Hospital of Shandong University, Jinan, Shandong 250012, China.
- Publication Type:Case Reports
- MeSH:
Humans;
Magnetic Resonance Imaging;
Male;
Middle Aged;
Vasculitis, Central Nervous System;
diagnosis
- From:
Chinese Medical Journal
2011;124(17):2782-2785
- CountryChina
- Language:English
-
Abstract:
Primary angiitis of the central nervous system is a rare and difficult entity. Here we represented the clinical and pathological features of a patient with little response to steroid before definite diagnosis. The 50-year-old male had a fluctuating disease course for more than 3 years. He presented visual disorders, seizure, cognitive impairment, hypersomnia, unsteady gait, dysphasia, dysphagia, and incontinence. Magnetic resonance imaging showed multiple, supratentorial and infratentorial abnormal signals, while cerebrospinal fluid and cerebral angiography were normal. Magnetic resonance spectrum showed a decrease of N-acetyl-aspartate. Brain biopsy revealed nongranulomatous lymphatic vasculitis with reactive gliosis, cicatrization, demyelination and focal hemorrhages.
