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Case No. 502
2018-12-01~2018-12-31
출제자 : 유인선
Hit : 634
| Period | 2018-12-01~2018-12-31 |
|---|---|
| Diagnosis | CNS vasculitis |
| Gender |
|
| Age | 20 |
| Clinical information | headache, 구토 (5DA) |
| Discussion | CNS vasculitis (lymphohistiocytic venulitis with occasional fibrin thrombi) • Characterized by nonatheromatous inflammation and necrosis of blood vessel walls, both arteries, veins may be affected • Clinical issue • M/C sign and symptom: stroke related manifestations of vascular involvement • Most patients are treated aggressively with combination of steroids, immunosuppressive medications • Imaging findings • Multifocal T2/FLAIR high signal intensities • Can see diffusion restrictive lesion in acute stage • May see patchy areas of parenchymal enhancement |
| Correct answer |
Correct AnswerSemi-Correct Answer |