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Two cases of primary angiitis of the central nervous system with subarachnoid hemorrhage are reported. One patient was admitted with very thin and localized sulcal subarachnoid hemorrhage, followed by the development of multiple parenchymal e dema. Although the first angiography showed only a mild narrowing of an artery, the second angiography demonstrated multiple segmental narrowings of arteries. An open biopsy failed to show histological changes. The second patient suffered from sylvian sub arachnoid hemorrhage along with multiple intracerebral hemorrhages, with angiography that was diagnostic for angiitis. In both cases, predonine was initiated and further angiography clearly demonstrated a resolution of the angiitis. The usefulness of seri al angiography for diagnosis in comparison with surgical biopsy and for monitoring the treatment of this disease is discussed. The occurrence of subarachnoid hemorrhage in this disease is also reviewed. |
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angiitis
angiitis,isolated of CNS
angiography, cerebral, beaded vessels
angiography,cerebral
angiography,cerebral,serial
arteritides
brain biopsy
brain biopsy,false negative
CAT scan
CAT scan,abnormal
intracerebral hemorrhage
intracerebral hemorrhage,multiple
prognosis
steroid therapy,CNS treatment and complications with
subarachnoid hemorrhage
treatment of neurologic disorder
vasculitides
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