A case of primary angiitis of the central nervous system diagnosed and treated based on HR-MRI

Abstract

Objective: To summarize the clinical features, imaging manifestations, therapeutic options, and prognosis of the primary angiitis of the central nervous system (PACNS) and to explore the role of high-resolution magnetic resonance imaging (HR-MRI) in the PACNS diagnosis and treatment. Methods: One patient with PACNS treated by HR-MRI was retrospectively analyzed and summarized by combining relevant literature. Results: The patient was a young female who was hospitalized with progressive cerebral infarction and multiple intracranial arterial stenosis. HR-MRI indicated vasculitic changes. After excluding other diseases, hormone shock combined with immunosuppression was given, followed by long-term rehabilitation treatment. The patient’s condition tended to stabilize, and the prognosis was satisfactory. Conclusion: PACNS is challenging to diagnose and is characterized by poor prognosis and easy recurrence. HR-MRI plays an important role in the clinical diagnosis and treatment adjustment for PACNS.

Keywords

primary angiitis of the central nervous system / high-resolution magnetic resonance imaging / cerebral infarction / immunosuppressant