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Gerstmann and No Stroke

By Janet C. Leingang


Vision loss, Confusion, Impaired speechA 68-year old female with a 1-day history of visual loss, confusion and speech impairment.VA: 20/30 OUCT; MRIGranulomatous, necrotizing inflammation surrounding small and medium-sized arteries in the subarachnoid space.Surgery; IV anticoagulant; Corticosteroid; Alkylating antineoplastic agent1. Calabrese LH, Duna GF, Lie JT. Vasculitis in the central nervous system. Arthritis and Rheum 1997; 40:1189-1201. 2. Duna GF, Calabrese LH. Limitations of invasive modalities in the diagnosis of primary angiitis of the central nervous system. J Rheumatol 1995; 22:662-667. 3. Harris KG, Tran DD, Sickels WJ, et al. Diagnosing intracranial vasculitis: the roles of MR and angiography. AJNR Am J Neuroradiol 1994; 15:317-330. 4. Negishi C, Sze G. Vasculitis presenting as primary leptomeningeal enhancement with minimal parenchymal findings. AJNR Am J Neuroradiol 1993; 14:26-28. 5. Pomper MG, Miller TJ, Stone JH, et al. Central nervous system vasculitis in autoimmune disease: magnetic resonance imaging findings and correlation with angiography. AJNR Am J Neuroradiol 1999; 20:75-84. 6. Stone JH, Pomper MG, Roubenoff R, et al. Sensitivities of noninvasive tests for central nervous system vasculitis: a comparison of lumbar puncture, computed tomography, and magnetic resonance imaging. J Rheumatology 1994; 21:1277-1282. 7. Vollmer TL, Guarnaccia J, Harrington W, et al. Idiopathic granulomatous angiitis of the central nervous system: diagnostic challenges. Arch Neurology 1993; 50:925-930. 8. Yuh WTC, Ueda T, Maley JE. Perfusion and diffusion imaging: a potential tool for improved diagnosis of CNS vasculitis. AJNR Am J Neuroradiol 1998; 20:87-89. 9. Yuh WTC, Ueda T, Maley JE, et al. Diagnosis of microvasculopathy in CNS vasculitis: value of perfusion and diffusion imaging. J of MRI 1999; 10:310-313

Topics: Vasculitis, Central Nervous System; Hemianopsia, Primary granulomatous angiitis of CNS
Publisher: Spencer S. Eccles Health Sciences Library, University of Utah
Year: 2001
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