Primary central nervous system vasculitis disguised as tumor-like granulomatous angiitis and multifocal subdural hematomas: A case report and literature review

Primary central nervous system vasculitis (PCNSV) is a rare inflammatory disorder limited to the brain and/or spinal cord that destroys CNS vessels without evidence of vasculitis outside the CNS. We present a case of a 52-year-old male who complained of a tension headache and dizziness. He was diagn...

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Veröffentlicht in:Interdisciplinary neurosurgery : Advanced techniques and case management 2018-09, Vol.13, p.119-123
Hauptverfasser: Al-Sharydah, A.M., Al-Abdulwahhab, A.H., Al-Suhibani, S.S., Al-Issawi, W.M., Al-Safran, F.S.
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Sprache:eng
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Zusammenfassung:Primary central nervous system vasculitis (PCNSV) is a rare inflammatory disorder limited to the brain and/or spinal cord that destroys CNS vessels without evidence of vasculitis outside the CNS. We present a case of a 52-year-old male who complained of a tension headache and dizziness. He was diagnosed postbiopsy with PCNSV that was initially disguised by a tumor-like lesion and multifocal subdural hematomas seen on MRI. Our report highlights the value of considering PCNSV as a differential diagnosis in patients with subdural hemorrhage that has never been previously recognized and emphasizes the value of a brain biopsy for confirming the diagnosis. Our report also shows the efficacy of steroid and immunosuppressive therapy in treating PCNSV. Keywords: Angiitis, Primary central nervous system vasculitis (PCNSV), Subdural hemorrhage
ISSN:2214-7519
2214-7519
DOI:10.1016/j.inat.2018.05.002