Fluctuating headache with personality change in a 63 year old man

Müller, Beatrice; Mordasini, Pasquale; Bassetti, Stefano; Frigerio, Susanna (2014). Fluctuating headache with personality change in a 63 year old man. Praxis - schweizerische Rundschau für Medizin, 103(4), pp. 223-228. Huber 10.1024/1661-8157/a001563

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We present a 63 year old man with new onset of fluctuating headache and behavioural changes showing marked inhibition and disorientation. After non invasive and invasive diagnostics an isolated cerebral vasculitis was found. Key results have been found in cerebral MRI and cerebral digital subtraction angiography with irregularities of vessel calibre of the intracerebral arteries. During treatment with high-dose corticosteroid therapy and Cyclophosphamid pulse therapy qualitative disorders and headache rapidly regressed. We discuss differential diagnosis of secondary headache, etiology of cerebral vasculitides, diagnostic challenge and therapy in isolated cerebral vasculitis.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Radiology, Neuroradiology and Nuclear Medicine (DRNN) > Institute of Diagnostic and Interventional Neuroradiology

UniBE Contributor:

Mordasini, Pasquale Ranato

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1661-8157

Publisher:

Huber

Language:

German

Submitter:

Martin Zbinden

Date Deposited:

06 Oct 2014 16:36

Last Modified:

02 Mar 2023 23:24

Publisher DOI:

10.1024/1661-8157/a001563

PubMed ID:

24518239

Uncontrolled Keywords:

Kopfschmerzen, Wesensveränderungen, isolierte zerebrale Vaskulitis

BORIS DOI:

10.7892/boris.48070

URI:

https://boris.unibe.ch/id/eprint/48070

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