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[Idiopathic granulomatous angiitis of the central nervous system]
J Arpa1, F Palomo, M Gutiérrez Molina
1Servicio de Neurología, Hospital La Paz, Universidad Autónoma de Madrid.
Abstract:
We diagnosed idiopathic granulomatous angiitis of the central nervous system in a 51-year-old man by leptomeningeal and cortical biopsy. The patient's disease was prolonged, with symptoms recurring over a period of 15 years. Treatment with prednisone and cyclophosphamide produced total remission after a follow-up of 22 months. Computerized tomography was less sensitive and revealed fewer lesions than did magnetic resonance imaging. Angiography was not sensitive and leptomeningeal and cortical biopsy were essential for diagnosis in this patient.
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