论文部分内容阅读
报道1例反复发生中枢神经多灶性损害及头痛、呕吐、视乳头水肿等弥漫性脑功能障碍、颅脑成象显示多发性病灶的患者,经脑活检显示肉芽肿性血管炎表现。除激素外加用细胞毒性药物硫唑嘌呤后症状明显好转,10个月后除有部分失认外基本恢复正常。头颅MRI无新病灶出现。本文对中枢神经系统肉芽肿性血管炎的诊断、治疗等进行文献复习与讨论。
One case of recurrent central nervous system multifocal damage and headache, vomiting, papilledema and other diffuse brain dysfunction, brain imaging showed multiple lesions in patients with brain biopsy showed granulomatous vasculitis. In addition to hormones plus cytotoxic drugs azathioprine symptoms significantly improved after 10 months except for some of the basic recognition of the loss of normal returned to normal. Head MRI no new lesions appear. This article reviews and discusses the literature on the diagnosis and treatment of CNS granulomatous vasculitis.