Vasculitis primaria del sistema nervioso central, diagnóstico diferencial de demencia subaguda: Caso clínico

Autor: Juan Pablo Gigoux L, Claudio Sacks P., Juan Idiáquez C, Luis García F, Pablo Araya C, Gonzalo Matamala H, Paula Muñoz V
Rok vydání: 2009
Předmět:
Zdroj: Revista médica de Chile v.137 n.6 2009
SciELO Chile
CONICYT Chile
instacron:CONICYT
ISSN: 0034-9887
DOI: 10.4067/s0034-98872009000600011
Popis: A primary central nervous system vaculitis is an uncommon and invalidating disease, which has a fatal course if left untreated. We report a 63 year-old woman presenting with a history of two months of cognitive impairment, dysarthria, gait instability and tremor. After four months of evolution a right hemianopsia and a flaccid paresis of upper right limb appeared. A brain biopsy was performed and the histological findings confirmed the suspicion of primary cerebral vasculitis. The patient was treated with cyclophosphamide and prednisone, observing a partial recovery of cognitive and motor function.
Databáze: OpenAIRE