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众所周知脑动脉炎最常发生于胶原性血管疾病,嗜药物史或颅内感染之病人。由于脑动脉炎所致的颅内出血是少见的。作者报告2例脑动脉炎发生颅内出血:1例为嗜甲苯丙胺者引起坏死性血管炎,发生自发性蛛网膜下腔出血,而无动脉瘤。另1例为溃疡性结肠炎产生颅内血肿。二例颈动脉造影均有弥漫性脑动脉炎的改变,后1例第二次造影发现右顶部有一个大的血肿。经治疗后前一例痊愈,后者遗留左侧轻偏瘫。
It is well known that arteritis occurs most frequently in patients with collagen-induced vascular disease, drug addiction or intracranial infection. Intracranial hemorrhage due to cerebral arteritis is rare. The authors reported intracranial hemorrhage in 2 cases of cerebral arteritis: 1 case of necrotizing vasculitis caused by methamphetamine and spontaneous subarachnoid hemorrhage without aneurysm. Another case of intracranial hematoma caused by ulcerative colitis. Two cases of carotid angiography have diffuse cerebral arteritis changes, after 1 case of the second angiography found a right top of a large hematoma. After the treatment of a case of recovery, left hemiplegia left behind.