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J Korean Neurol Assoc. 2013;31(4):262-265.
- Primary Angiitis of the Central Nervous System Diagnosed by
High-Resolution Vessel Wall MRI
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Eun Bin Cho
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Department of Neurology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
Department of Radiology and Center for Imaging Science
a
, Samsung Medical Center, Sungkyunkwan University School
of Medicine, Seoul, Korea
- 고해상도혈관벽MRI로 진단된 중추신경계원발혈관염
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조은빈, 김석재 차지훈
a
손태옥 김준표 방오영 김경문 정진상 이광호
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성균관대학교 의과대학 삼성서울병원 신경과, 영상의학과
a
- Abstract
- Primary angiitis of the central nervous system (PACNS) is a poorly understood form of vascular inflammatory disease
that is restricted to the brain and spinal cord. A 38-year-old woman presented with severe headache and transient
aphasia. Her cerebrospinal fluid exhibited aseptic meningitis, and high-resolution vessel-wall MRI (HRVW-MRI)
revealed narrowing of multiple intracranial vessels with concentric wall thickening and diffuse enhancement, suggestive
of PACNS. High-dose steroid and azathioprine therapy resulted in a significant improvement in vessel wall thickening,
and enhancement was observed on the follow-up HRVW-MRI. Key Words: PACNS, Vessel-wall MRI, Therapeutic monitoring
Keywords :
- 초록
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