결절다발동맥염에서 안구운동장애로 발현한 해면정맥동의 양측성 내경동맥 동맥류
Bilateral Cavernous Internal Carotid Aneurysm in Polyarteritis Nodosa Presenting with Bilateral Ophthalmoplegia
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Polyarteritis nodosa (PAN) is a rare, systemic necrotizing vasculitis that predominantly affects small- and medium-sized visceral arteries. The most common sites affected in PAN are the skin, joints, kidneys, gastrointestinal tract, and peripheral nerves. Involvement of the central nervous system (CNS) in PAN has also been reported, and the most common neurological finding is focal cerebral ischemia with stenosis or occlusion of intracranial arteries. Although aneurysm formation in visceral arteries is common in PAN, intra-cranial aneurysms are extremely rare. To our knowledge, the case of bilateral cavernous internal carotid aneurysm in PAN has not been reported. We report the case of bilateral cavernous internal carotid aneurysm in PAN that presented with bilateral ophthalmoplegia. (Korean J Stroke 2007;9:148-151)
Abstract
Polyarteritis nodosa (PAN) is a rare, systemic necrotizing vasculitis that predominantly affects small- and medium-sized visceral arteries. The most common sites affected in PAN are the skin, joints, kidneys, gastrointestinal tract, and peripheral nerves. Involvement of the central nervous system (CNS) in PAN has also been reported, and the most common neurological finding is focal cerebral ischemia with stenosis or occlusion of intracranial arteries. Although aneurysm formation in visceral arteries is common in PAN, intra-cranial aneurysms are extremely rare. To our knowledge, the case of bilateral cavernous internal carotid aneurysm in PAN has not been reported. We report the case of bilateral cavernous internal carotid aneurysm in PAN that presented with bilateral ophthalmoplegia. (Korean J Stroke 2007;9:148-151)