Gerstmann and No Stroke

Update Item Information
Identifier walsh_2001_s6_c3
Title Gerstmann and No Stroke
Creator Janet C. Leingang
Subject Vasculitis, Central Nervous System; Hemianopsia
History A 68-year old female with a 1-day history of visual loss, confusion and speech impairment.
Pathology Granulomatous, necrotizing inflammation surrounding small and medium-sized arteries in the subarachnoid space.
Disease/Diagnosis Primary granulomatous angiitis of CNS
Clinical VA: 20/30 OU
Presenting Symptom Vision loss, Confusion, Impaired speech
Neuroimaging CT; MRI
Treatment Surgery; IV anticoagulant; Corticosteroid; Alkylating antineoplastic agent
Date 2001
References 1. Calabrese LH, Duna GF, Lie JT. Vasculitis in the central nervous system. Arthritis and Rheum 1997; 40:1189-1201. 2. Duna GF, Calabrese LH. Limitations of invasive modalities in the diagnosis of primary angiitis of the central nervous system. J Rheumatol 1995; 22:662-667. 3. Harris KG, Tran DD, Sickels WJ, et al. Diagnosing intracranial vasculitis: the roles of MR and angiography. AJNR Am J Neuroradiol 1994; 15:317-330. 4. Negishi C, Sze G. Vasculitis presenting as primary leptomeningeal enhancement with minimal parenchymal findings. AJNR Am J Neuroradiol 1993; 14:26-28. 5. Pomper MG, Miller TJ, Stone JH, et al. Central nervous system vasculitis in autoimmune disease: magnetic resonance imaging findings and correlation with angiography. AJNR Am J Neuroradiol 1999; 20:75-84. 6. Stone JH, Pomper MG, Roubenoff R, et al. Sensitivities of noninvasive tests for central nervous system vasculitis: a comparison of lumbar puncture, computed tomography, and magnetic resonance imaging. J Rheumatology 1994; 21:1277-1282. 7. Vollmer TL, Guarnaccia J, Harrington W, et al. Idiopathic granulomatous angiitis of the central nervous system: diagnostic challenges. Arch Neurology 1993; 50:925-930. 8. Yuh WTC, Ueda T, Maley JE. Perfusion and diffusion imaging: a potential tool for improved diagnosis of CNS vasculitis. AJNR Am J Neuroradiol 1998; 20:87-89. 9. Yuh WTC, Ueda T, Maley JE, et al. Diagnosis of microvasculopathy in CNS vasculitis: value of perfusion and diffusion imaging. J of MRI 1999; 10:310-313.
Language eng
Format application/pdf
Type Text
Source 27th Annual North American Neuro-Ophthalmology Society Meeting, Frank B. Walsh Session CD-ROM
Relation is Part of Case 3, Session VI, Walsh Session, NANOS 2001
Collection Neuro-ophthalmology Virtual Education Library: NOVEL http://NOVEL.utah.edu
Publisher Spencer S. Eccles Health Sciences Library, University of Utah
Holding Institution North American Neuro-Ophthalmology Association. NANOS Executive Office 5841 Cedar Lake Road, Suite 204, Minneapolis, MN 55416
Rights Management Copyright 2008. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright
ARK ark:/87278/s64170s2
Contributor Primary Leingang, Janet C.
Contributor Secondary Biousse, Valerie; Newman, Nancy J.
Setname ehsl_novel_fbw
ID 177694
Reference URL https://collections.lib.utah.edu/ark:/87278/s64170s2