Primary phlebitis of central nervous system revealed by black-blood magnetic resonance imaging
| Autor: | Megumi Mori, Junko Taruya, Jinsoo Koh, Hidefumi Ito |
|---|---|
| Rok vydání: | 2023 |
| Předmět: |
Adult
Central Nervous System Male medicine.medical_specialty Anterograde amnesia Methylprednisolone medicine Humans Vein Vasculitis Central Nervous System medicine.diagnostic_test business.industry Magnetic resonance imaging General Medicine medicine.disease Magnetic Resonance Imaging medicine.anatomical_structure Angiography Prednisolone Radiology Differential diagnosis medicine.symptom Vasculitis business Phlebitis Magnetic Resonance Angiography medicine.drug |
| Zdroj: | BMJ case reports. 14(10) |
| ISSN: | 1757-790X |
| Popis: | Primary phlebitis of the central nervous system (PPCNS) is a rare condition that might be a subset of primary angiitis of the CNS. In this case report, the patient was a 39-year-old man with a 2-week history of anterograde amnesia and abnormal behaviours. Black-blood MRI (BB-MRI) showed contrast enhancement of the left basilar vein and cerebral superficial veins. Angiography showed unremarkable change in arteries. After a thorough differential diagnosis, we diagnosed PPCNS and then administered methylprednisolone pulse and cyclophosphamide pulse. The neuropsychological symptoms and MRI findings gradually improved, and after 2 months, the dose of prednisolone was gradually reduced to 20 mg. No recurrence was observed. This case shows that BB-MRI may be useful for diagnosing PPCNS. |
| Databáze: | OpenAIRE |
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