Primary Angiitis of the Central Nervous System Mimicking Tumor-Like Lesion : —Case Report—
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概要
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A 60-year-old man presented with a rare case of primary angiitis of the central nervous system mimicking a tumor-like lesion and manifesting as slight disorientation, left hemiparesis, and motor aphasia. Computed tomography showed multiple low density lesions in the left frontal lobe, brain stem, and right parietal lobe. Magnetic resonance images revealed a slightly enhanced mass lesion in the right parietal lobe with surrounding brain edema. Serum, cerebrospinal fluid, and other image examinations did not show any abnormal findings, so surgical removal of the right parietal mass was performed. Histological examination revealed that the mass consisted of hemorrhagic infarction without cellular atypia. Proliferations of endothelial cells in small and medium arteries, and infiltration of macrophages in the perivascular space were detected in the infarction tissues. The histological diagnosis was primary angiitis of the central nervous system.
著者
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ITO Masafumi
Department of Pathology, Japanese Red Cross Nagoya Daiichi Hospital
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Wakabayashi Toshihiko
Department of Neurosurgery, Nagoya University Graduate School of Medicine
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NAKAHARA Norimoto
Department of Neurosurgery, Nagoya Central Hospital
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TANEI Takafumi
Department of Neurosurgery, Nagoya Central Hospital
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TAKEBAYASHI Shigenori
Department of Neurosurgery, Nagoya Central Hospital
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HASHIZUME Yoshio
Department of Neuropathology, Institute for Medical Science of Aging, Aichi Medical University
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