Resumen de Vasculitis primaria del sistema nervioso central, diagnóstico diferencial de demencia subaguda: Caso clínico
Pablo Araya C, Claudio Sacks P, Paula Muñoz V, Juan Pablo Gigoux, Luis García F, Gonzalo Matamala, Juan Idiáquez
A primary central nervous system vaculitis is an uncommon and invalidating disease, which has a fatal course if left untreated. We report a 63 year-old woman presenting with a history of two months of cognitive impairment, dysarthria, gait instability and tremor. After four months of evolution a right hemianopsia and a flaccid paresis of upper right limb appeared. A brain biopsy was performed and the histological findings confirmed the suspicion of primary cerebral vasculitis. The patient was treated with cyclophosphamide and prednisone, observing a partial recovery of cognitive and motor function.
