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Critical Care: Student/Resident Case Report Poster - Critical Care III |

A New Case of Cerbral Angiitis in the ICU

Jason Unger, MD; Michael Switzer, DO; Paul Clark, DO
Author and Funding Information

Walter Reed Bethesda, Bethesda, MD


Copyright 2016, American College of Chest Physicians. All Rights Reserved.


Chest. 2016;150(4_S):412A. doi:10.1016/j.chest.2016.08.425
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SESSION TITLE: Student/Resident Case Report Poster - Critical Care III

SESSION TYPE: Student/Resident Case Report Poster

PRESENTED ON: Tuesday, October 25, 2016 at 01:30 PM - 02:30 PM

INTRODUCTION: Primary central nervous system vasculitis, also knowns as Primary Angiitis of the Central Nervous system (PACNS), is an extremely rare condition, often presenting with nonspecific findings of worsening headache, confusion, and occasionally visual disturbance.1 Age of onset is often in the 40-50’s with no specific gender predilection.2 Definitive diagnosis requires evidence of isolated CNS non-caseating granulomatous changes, with no other clear cause. We present a case of 47 year old patient, with a presentation initially concerning for vasospastic condition, with Cerebral Angiogram and initial Brain biopsy findings consistent with PACNS.

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