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A case of primary angiitis of the central nervous system diagnosed and treated based on HR-MRI |
| Xin Zhao1, Zhen Wang2, Yuanxin Shao3, Li Li4, Tong Shen4* |
1.Department of Neurology, Liaocheng People’s Hospital, Liaocheng 252000, China
2.Department of Psychiatry, Liaocheng Fourth People’s Hospital, Liaocheng 252000, China
3.Department of Rehabilitation, Liaocheng People’s Hospital, Liaocheng 252000, China
4.Department of Emergency, Liaocheng People’s Hospital, Liaocheng 252000, China |
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Abstract Objective: To summarize the clinical features, imaging manifestations, therapeutic options, and prognosis of the primary angiitis of the central nervous system (PACNS) and to explore the role of high-resolution magnetic resonance imaging (HR-MRI) in the PACNS diagnosis and treatment. Methods: One patient with PACNS treated by HR-MRI was retrospectively analyzed and summarized by combining relevant literature. Results: The patient was a young female who was hospitalized with progressive cerebral infarction and multiple intracranial arterial stenosis. HR-MRI indicated vasculitic changes. After excluding other diseases, hormone shock combined with immunosuppression was given, followed by long-term rehabilitation treatment. The patient’s condition tended to stabilize, and the prognosis was satisfactory. Conclusion: PACNS is challenging to diagnose and is characterized by poor prognosis and easy recurrence. HR-MRI plays an important role in the clinical diagnosis and treatment adjustment for PACNS.
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| Keywords
primary angiitis of the central nervous system
high-resolution magnetic resonance imaging
cerebral infarction
immunosuppressant
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Issue Date: 25 March 2024
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