Summary
A case of cerebral granulomatous angiitis of the left temporal lobe mimicking a brain tumour is presented. Following surgical removal of a glioma-imitating mass, histological examination disclosed a granulomatous vasculitis. Treatment consisted of dexamethasone given in tapering doses for 5 days after surgery. Clinical and morphological differences from other reported cases of granulomatous angiitis of the nervous system are described.
Zusammenfassung
Es wird über einen Fall von zerebraler granulomatöser Angiitis des linken Schläfenlappens berichtet, der zunächst für einen Hirntumor gehalten wurde. Nach der operativen Entfernung von gliomatös anmutendem Gewebe wurde histologisch die Diagnose einer granulomatösen Vaskulitis gestellt. Medikamentös wurde lediglich Dexamethason in fallender Dosierung während der ersten fünf postoperativen Tage verabreicht. Auf klinische und morphologische Unterschiede zu bisher publizierten Fällen von granulomatöser Angiitis des Nervensystems wird näher eingegangen.
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Kristoferitsch, W., Jellinger, K. & Böck, F. Cerebral granulomatous angiitis with atypical features. J Neurol 231, 38–42 (1984). https://doi.org/10.1007/BF00313650
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DOI: https://doi.org/10.1007/BF00313650