J Neurocrit Care.  2023 Jun;16(1):55-57. 10.18700/jnc.220088.

Progressive cerebral large-vessel vasculitis in a patient with Sjögren’s syndrome

• Kim WJ
• Lee JS
• Oh Si

• KMID: 2543396
• DOI: http://doi.org/10.18700/jnc.220088

Figure

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  Fig. 1. Brain magnetic resonance imaging scans upon admission. (A, B) There were high signal-intensity lesions on diffusion-weighted images in the right middle cerebral artery borderzone area at the right frontal and parietal lobes, and (C, D) relevant lesions were noted on the apparent diffusion coefficient map.

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  Fig. 2. Brain magnetic resonance angiography (MRA) and high-resolution magnetic resonance imaging (MRI) of the carotid plaque. (A) MRA taken 1 year before admission showed no stenosis in both distal internal carotid arteries (ICAs). (B, C) MRA taken upon admission showed moderate to severe stenosis in the right distal ICA (arrowhead). (D, E) On MRA taken 4 days later, severe stenosis was newly discovered in the left distal ICA, proximal M1, and proximal A1 (arrowhead), and (F) focal concentric wall thickening with enhancement at the left distal ICA was confirmed on high-resolution MRI (arrow).

Reference

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