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Case Reports
. 2016 Feb;36(1):88-92.
doi: 10.1111/neup.12234. Epub 2015 Jul 22.

Central Nervous System Granulomastous Phlebitis With Limited Extracranial Involvement of the Heart and Lungs: An Autopsy Case

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Case Reports

Central Nervous System Granulomastous Phlebitis With Limited Extracranial Involvement of the Heart and Lungs: An Autopsy Case

Jernej Mlakar et al. Neuropathology. .

Abstract

Primary angiitis of the central nervous system is a rare condition, usually with an insidious onset. There is a wide variety of histological types (granulomatous, lymphocytic or necrotizing vasculitis) and types of vessel involved (arteries, veins or both). Most cases are idiopathic. We describe a first case of idiopathic granulomatous central nervous system phlebitis with additional limited involvement of the heart and lung, exclusively affecting small and medium sized veins in a 22-year-old woman, presenting as a sub acute headache. The reasons for this peculiar limitation of inflammation to the veins and the involvement of the heart and lungs are unknown.

Keywords: central nervous system; granulomatous angiitis; heart; lung; phlebitis.

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