Zusammenfassung
Es wird eine Patientin mit akuten Kopfschmerzen, leichten kognitiven Störungen ohne fokales neurologisches Defizit vorgestellt. Das MRT zeigt multiple kleine Hirninfarkte; angiographisch wurden segmentale Lumeneinengungen zerebraler Gefäße gefunden. Die vollständige Remission unter alleiniger Corticoidtherapie, angiographisch und in mehreren MRT dokumentiert, unterstützt die Diagnose eines benignen Typs der primären Angiitis des Zentralnervensystems.
Summary
A female patient with sudden onset of headache, mild decreased cognition without focal neurologic deficit is reported. MRI showed multiple bilateral supratentorial infarcts; cerebral angiography demonstrated segmental narrowing of cerebral vessels. The complete clinical remission under treatment with corticosteroids, angiographically and MRI confirmed, sustained the diagnosis of a benign subset of the primary angiitis of central nervous system.
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Popescu-Pretor, R., Turk, J. Primäre Angiitis des Zentralnervensystems: Gibt es einen benignen Subtyp?. Klin Neuroradiol 8, 42–46 (1998). https://doi.org/10.1007/BF03044067
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DOI: https://doi.org/10.1007/BF03044067