Cerebral Vasculitis Associated With Amyloid Angiopathy : Case Report
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概要
- 論文の詳細を見る
A 78-year-old female presented with coexisting primary angiitis of the central nervous system (CNS) and cerebral amyloid angiopathy (CAA) manifesting as motor aphasia caused by a left frontal lobe lesion. Magnetic resonance imaging revealed an enhanced lesion with moderate surrounding edema.Technetium-99m propylene amine oxime single-photon emission computed tomography showed decreased cerebral blood flow (CBF) in the lesions, and high serum soluble-interleukin-2 level was detected, suggesting intravascular lymphoma of the CNS. Cerebral biopsy revealed CAA with secondary florid vasculitic appearance. The CBF and neurological symptoms, such as aphasia and dementia, recovered following steroid treatment. Cerebral vasculitis associated with CAA should be included in the differential diagnosis of an unusually enhanced lesion, because timely diagnosis and aggressive treatment are critical to successful recovery in such elderly patients.
- 社団法人 日本脳神経外科学会の論文
- 2010-04-15
著者
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kimura noriyuki
Department of Cardiology, Kobe City Medical Center General Hospital
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Abe Tatsuya
Department Of Neurosurgery Oita University School Of Medicine
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Kimura Noriyuki
Department Of Neurology Oita University School Of Medicine
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Kobayashi Hidenori
Department Of Civil Engineering Saitama University
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Fujiki Minoru
Department Of Neurosurgery Oita University School Of Medicine
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Okazaki Toshiro
Department Of Clinical Laboratory Medicine/hematology Faculty Of Medicine Tottori University
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Okazaki Toshiro
Department Of Neurology Oita University School Of Medicine
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Kamida Tohru
Department Of Neurosurgery Oita University School Of Medicine
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Fujiki Minoru
Department Of Neurosurgery Medical College Of Oita
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Kumamoto Toshihide
Department Of Neurology And Neuromuscular Disorders Oita University Faculty Of Medicine
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Kumamoto Toshihide
Department Of Neurology Oita University School Of Medicine
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MORISHIGE Masaki
Department of Neurosurgery, Oita University School of Medicine
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HIKAWA Takamitsu
Department of Neurosurgery, Oita University School of Medicine
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YAMADA Akira
Kawano Neurosurgical Hospital
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KAWANO Yoshihisa
Kawano Neurosurgical Hospital
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Morishige Masaki
Department Of Neurosurgery Oita University School Of Medicine
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Kobayashi Hidenori
Department Of Brain And Nerve Science Oita Medical University
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Abe Tatsuya
Department Of Biochemistry Kyushu University School Of Medicine
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Hikawa Takamitsu
Department Of Neurosurgery Oita University School Of Medicine
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Kamida Thoru
Department Of Neurosurgery Oita Medical University
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Kumamoto Toshihide
Department of Internal Medicine 3, Oita University Faculty of Medicine, Japan
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