Multiple appearing and vanishing aneurysms: primary angiitis of the central nervous system. Case report

Journal of Neurosurgery
M NishikawaS Nishimura

Abstract

The authors present the case of a patient with ischemic episodes and recurrent intracerebral hemorrhages probably caused by primary angiitis of the central nervous system (CNS). An initial angiogram revealed multiple cerebral artery aneurysms as well as vascular wall irregularity; a second angiogram obtained 2 years later, however, did not demonstrate the previous aneurysms but instead showed new ones together with stenosis. Based on the histopathological findings and clinical course in this case, the multiple aneurysms appear to have been induced by vascular wall fragility and subsequent self-repair resulting from primary angiitis of the CNS. The authors present the histological and clinical characteristics of this unusual case of granulomatous, necrotizing CNS vasculitis.

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Citations

Mar 9, 2007·Neuroradiology·Wilhelm Küker
Jun 12, 2012·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Karin PistracherSenta Kurschel
Mar 19, 2011·Journal of Neurology·Michael G HoRobert Nishimura
Apr 29, 2010·Current Allergy and Asthma Reports·Lavier J Gomes
Dec 16, 2003·Current Opinion in Rheumatology·Susanne Benseler, Rayfel Schneider
Feb 19, 2008·Current Opinion in Rheumatology·Jorina Elbers, Susanne M Benseler
Jul 31, 2010·Current Opinion in Rheumatology·Tania Cellucci, Susanne M Benseler
May 26, 2011·Current Opinion in Pediatrics·Tania Cellucci, Susanne M Benseler
May 24, 2012·Journal of Neurointerventional Surgery·Marco LuigettiAlessandro Cianfoni
Oct 29, 2013·Journal of Neurosurgery. Pediatrics·Michael S ParkSarah J Gaskill
Aug 19, 2008·International Journal of Stroke : Official Journal of the International Stroke Society·Wilhelm Küker
Jun 5, 2003·Australasian Radiology·Surendra SinghThilak Soloman
Nov 3, 2004·The Journal of Pediatrics·Roy YaariJoseph G Gleeson
Apr 21, 2001·Neurology·S LanthierG deVeber

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Methods Mentioned

BETA
biopsy

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