Granulomatous Angiitis of the Central Nervous System : Case Report
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概要
- 論文の詳細を見る
A 22-year-old male presented with granulomatous angiitis manifesting as headache. Computed tomography (CT) demonstrated a low-density area and ring-like enhancement in the right frontoparietal region. Steroid therapy caused rapid improvement in the signs and symptoms. Withdrawal of steroid was followed by recurrence of the headache and low-density area. The steroid treatment was resumed until he became asymptomatic 3 months after admission. He was followed up as an outpatient once every 2 weeks. One month after discharge, he complained of mild headache, and CT again demonstrated a mild increase in the low-density area. He was followed up continuously without steroid treatment. Two months after discharge, he suddenly lost consciousness, and CT demonstrated multiple intracerebral hematomas in the bilateral parietal regions. Removal of an intracerebral hematoma in the right parietal region and external decompression were carried out, but he died 3 days later. Histological examination of tissues from the right parietal cortex and leptomeninges demonstrated granulomatous inflammation with several giant cells in the vessels of the cerebral cortex and leptomeninges.
- 日本脳神経外科学会の論文
- 1993-06-15
著者
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Fukasawa Isao
Department Of Neurosurgery Yamanashi Medical University
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Fukasawa Isao
Department Of Neurosurgery Yamanashi Medical College
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NUKUI Hideaki
Department of Neurosurgery, University of Yamanashi Faculty of Medicine
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KOIZUMI Hidehito
Department of Neurosurgery, Yamanashi Prefectural Central Hospital
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MITSUKA Shigeru
Department of Neurosurgery Yamanashi Medical College
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YOSHIDA Youji
Department of Pathology, Yamanashi Medical College
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YAMAZAKI Hiromichi
Department of Neurosurgery, Yamanashi Prefectural Central Hospital
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WAKAO Tetsuo
Department of Neurosurgery, Yamanashi Prefectural Central Hospital
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SEGAWA Hiromu
Department of Neurosurgery, Fuji Brain Institute and Hospital
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Wakao Tetsuo
Department Of Neurosurgery Yamanashi Prefectural Central Hospital
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Yoshida Youji
Department Of Pathology Yamanashi Medical College
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Segawa Hiromu
Department Of Neurosurgery Fuji Brain Institute And Hospital
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Nukui Hideaki
Department Of Neurosurgery And Radiology Yamanashi Medical University And Department Of Radiology To
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Mitsuka Shigeru
Department Of Neurosurgery Mitsuka Neurosurgical Hospital
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Yamazaki Hiromichi
Department Of Neurosurgery Yamanashi Prefectural Central Hospital
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Koizumi Hidehito
Department Of Neurosurgery Yamanashi Medical College
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