-transparent.png){kind=logo}
A case of allergic granulomatous angiitis showing various symptoms of the central nervous system is reported. A 29-year-old female was admitted to our hospital because of severe headache and urinary incontinence. Consciousness was drowsy, and right IIIrd cranial nerve palsy was observed. CT scan revealed subarachnoid hemorrhage, hydrocephalus and arachnoid cyst. Since no aneurysm or arteriovenous malformation was detected by angiography, continuous ventricular drainage was performed. Marked hypertension due to renal vascular origin was suggested by means of laboratory data about serum renin etc., so renal as well as cerebral angiography was carried out by Seldinger's method. There revealed aneurysms of the left renal artery and a branch of the left anterior cerebral artery. Then, ventriculo-peritoneal shunt and resection of left frontal aneurysm were done. Microscopic finding of the excised aneurysm was necrotizing angiitis with infiltration of eosinophil. Six days after the operation, CT scan showed asymptomatic subcortical hematoma at the right occipital lobe. The patient was in good condition and had no cerebral or other complication following steroid therapy. The present case was considered as a very rare one because no case with subarachnoid hemorrhage and cerebral aneurysm due to allergic granulomatous angiitis was reported in the previous literature.
K Muraishi, and
K Sugita, and
S Fujiwara, and
J Suzuki, and
T Izumiyama, and
T Okazaki
January 1993,
Nihon rinsho. Japanese journal of clinical medicine,
K Muraishi, and
K Sugita, and
S Fujiwara, and
J Suzuki, and
T Izumiyama, and
T Okazaki
October 1993,
Zhonghua nei ke za zhi,
K Muraishi, and
K Sugita, and
S Fujiwara, and
J Suzuki, and
T Izumiyama, and
T Okazaki
January 2004,
Vojnosanitetski pregled,
K Muraishi, and
K Sugita, and
S Fujiwara, and
J Suzuki, and
T Izumiyama, and
T Okazaki
January 1957,
Archiv fur klinische und experimentelle Dermatologie,
K Muraishi, and
K Sugita, and
S Fujiwara, and
J Suzuki, and
T Izumiyama, and
T Okazaki
January 1978,
Scandinavian journal of respiratory diseases,
K Muraishi, and
K Sugita, and
S Fujiwara, and
J Suzuki, and
T Izumiyama, and
T Okazaki
January 1991,
Arerugi = [Allergy],
K Muraishi, and
K Sugita, and
S Fujiwara, and
J Suzuki, and
T Izumiyama, and
T Okazaki
January 1986,
Pathology,
K Muraishi, and
K Sugita, and
S Fujiwara, and
J Suzuki, and
T Izumiyama, and
T Okazaki
April 1979,
Medicina clinica,
K Muraishi, and
K Sugita, and
S Fujiwara, and
J Suzuki, and
T Izumiyama, and
T Okazaki
September 1994,
Journal of neurosurgery,
K Muraishi, and
K Sugita, and
S Fujiwara, and
J Suzuki, and
T Izumiyama, and
T Okazaki
January 1995,
Minerva medica,
