primary angiitis of the central nervous system
نویسندگان
چکیده
primary angiitis of the central nervous system (pacns) is an idiopathic disorder (vasculitis) restricted to the central nervous system (cns). it often presents with focal neurological deficits suggesting stroke or a combination of confusion and headache. we herein report three cases with various combinations of fever, partial seizure, encephalopathy, paresis, headache and ataxia. one of them was initially treated as herpes simplex meningoencephalitis, but further investigations revealed primary angiitis. primary angiitis of the cns has protean manifestations and should always be considered in patients suspicious to have cns infection or stroke, particularly who does not respond to the routine treatments. clinical data, exclusion of differential diagnoses and typical angiography seem to be enough to justify the diagnosis in the majority of cases.
منابع مشابه
Primary Angiitis of the Central Nervous System.
Primary angiitis of the central nervous system (PACNS) is rare but often included in the differential diagnosis for unusual or unexplained neurologic symptoms owing to its array of clinical manifestations. PACNS is not a single entity, but rather an umbrella term for distinct subtypes of disease affecting different parts of the CNS, different sized vessels, and with different histologic and pat...
متن کاملPrimary Angiitis of the Central Nervous System
Primary angiitis of the central nervous system (PACNS) is an idiopathic disorder (vasculitis) restricted to the central nervous system (CNS). It often presents with focal neurological deficits suggesting stroke or a combination of confusion and headache. We herein report three cases with various combinations of fever, partial seizure, encephalopathy, paresis, headache and ataxia. One of them wa...
متن کاملA Case Report of Primary Angiitis of the Central Nervous System
BACKGROUND AND OBJECTIVE: Primary angiitis of the central nervous system (PACNS) is an inflammatory vasculitis with very low frequency and prevalence. It is not clear why the inflammatory process of this disease is limited to cerebrovascular disease without systemic manifestations. A case of primary angiitis of the central nervous system with cerebrovascular manifestations is reported here. C...
متن کاملPrimary angiitis of the central nervous system: emerging variants.
BACKGROUND Primary angiitis of the central nervous system (PACNS), a serious disease, has not featured prominently in the spectrum of multi-organ disease seen in vasculitis clinics. AIM To evaluate the presentation, natural history and features of PACNS variants and compare to those of systemic vasculitides. DESIGN Retrospective analysis. METHODS Patients (n=105) presented during 1988-200...
متن کاملPrimary angiitis of the central nervous system: unusual MR appearance.
The MR findings of a biopsy-proved case of primary angiitis of the central nervous system are described and compared with previously reported cases. Multiple punctate and linear areas of gadopentetate dimeglumine enhancement were present in the brain stem and white matter and appear to correspond to the inflammatory reaction of the small perforating vessels and perivascular tissues seen in the ...
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عنوان ژورنال:
acta medica iranicaجلد ۵۰، شماره ۳، صفحات ۲۱۶-۲۲۱
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