原发性脑血管炎——附1例报告及文献分析  

Primary cerebral vasculitis: one case report

作　　者：许有生[1] 邬万新[1] 沈纪林[1] 温晓伟[1] 

机构地区：[1]浙江省嘉兴市第一医院,浙江嘉兴314000

出　　处：《罕少疾病杂志》2005年第1期4-6,F002,共4页Journal of Rare and Uncommon Diseases

摘　　要：目的提高对原发性脑血管炎的认识。方法回顾性分析经手术病理证实的1例原发性脑血管炎患者的临床资料,结合文献复习进行讨论。结果该患者为1名60岁男性,反复发作头痛17年,突然加重伴左眼黑矇5小时,无高血压病和全身性血管炎病史,CT平扫示右顶枕叶不均质高密度病灶,位于皮质及皮质下髓质,手术病理证实为脑血管炎。结论原发性脑血管炎是一个罕见病,临床上常误诊,可结合临床症状、影像学检查、实验室检查进行排除性诊断,确诊依据是组织学活检,包括穿刺活检和开颅性活检。Objective To improve the diagnosis of primary cerebral vasculitis.MethodsTheclinical data of one patients with primary cerebral vasculitis confirmed by operation andpathology were analyzed retrospectively, and the literatures were reviewed.ResultsThepatient was a 60-year-old man. The symptom of headache lasted 17 years, which becameserious suddenly with left eye amaurosis for 5 hours. The patient hadnt disease history ofhypertension and general vasculitis. CT scan showed the lesions with high density in rightparieto-occipital lobe. The diagnosis of cerebral vasculitis was verified by postoperativepathology examination.ConclusionPrimary cerebral vasculitis is a rare disease. The comfirmeddiagnosis depends on the histopathology, including needle aspirated biopsy or open biopsy.[

关 键 词：原发性脑血管炎 脑出血 诊断 

分 类 号：R743[医药卫生—神经病学与精神病学]