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首页> 外文期刊>eNeurologicalSci >Early treatment for IgG4-related disease may prevent cognitive impairment caused by cerebral vasculitis: A case report and review of the literature
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Early treatment for IgG4-related disease may prevent cognitive impairment caused by cerebral vasculitis: A case report and review of the literature

机译:IgG4相关疾病的早期治疗可预防由脑血管炎引起的认知障碍:一例病例并文献复习

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IgG4-related disease (IgG4-RD) is a recently recognized disease entity. A 74-year-old male presented with transient headache. He was diagnosed IgG4-RD by pancreatic biopsy at the age of 72. Magnetic Resonance Imaging (MRI) showed disseminated cerebral microbleeds and microinfarctions in time and space. It suggested cerebral vasculitis, however any causative factor were not confirmed. IgG4-RD rarely causes cerebral vasculitis. This might be a first case of an asymptomatic cerebral vasculitis due to IgG4-RD. Patient was started on oral prednisolone, and no neurological or neuropsychological symptom was clinically observed. The MRI findings improved after treatment, and revealed no indication of newly lesions at 6-months follow-up. Early treatment for IgG4-RD may be recommended to prevent irreversible cognitive dysfunction. Highlights ? Cerebral vasculitis is uncommon in IgG4-RD. ? This report is a first case of IgG4-RD where treatment for cerebral involvement was underwent in an asymptomatic stage. ? Early treatment for IgG4-RD may be recommended to prevent irreversible cognitive dysfunction.
机译:IgG4相关疾病(IgG4-RD)是最近公认的疾病个体。一名74岁的男性出现暂时性头痛。他在72岁时经胰腺活检诊断为IgG4-RD。磁共振成像(MRI)显示时空弥散性脑微出血和微梗塞。提示脑血管炎,但未确认任何致病因素。 IgG4-RD很少引起脑血管炎。这可能是由于IgG4-RD而导致的无症状性脑血管炎的第一例。患者开始口服泼尼松龙治疗,临床上未观察到神经或神经心理症状。治疗后MRI表现有所改善,并且在随访6个月后未发现新的病变迹象。可能建议尽早治疗IgG4-RD,以预防不可逆的认知功能障碍。强调 ?脑血管炎在IgG4-RD中不常见。 ?该报告是IgG4-RD的第一例,其中在无症状阶段进行了脑部受累治疗。 ?可能建议尽早治疗IgG4-RD,以预防不可逆的认知功能障碍。

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