Primary angiitis of the central nervous system (PACNS): clinical features

Evidence-based neurology checklist on primary angiitis of the central nervous system (pacns): clinical features: Classification Granulomatous angiitis: this affects small-sized vessels Lymphocytic PACNS Angiographically defined PACNS: this affects medium-sized vessels Mass/tumour-like lesions…

Classification

  • Granulomatous angiitis: this affects small-sized vessels
  • Lymphocytic PACNS
  • Angiographically defined PACNS: this affects medium-sized vessels
  • Mass/tumour-like lesions
  • Amyloid beta related cerebral angiitis
  • Haemorrhagic PACNS: this is associated with sympathomimetic drug use
  • Isolated spinal cord PACNS
  • Unilateral hemispheric PACNS
  • Unilateral relapsing PACNS
  • Isolated small vessel PACNS (svPACNS)

Risk factors

Demographic features

Headache

Stroke and transient ischaemic attacks (TIAs)

Other clinical features

Outcomes

References

  1. Hajj-Ali RA, Singhal AB, Benseler S, Molloy E, Calabrese LH. Primary angiitis of the CNS. Lancet Neurol 2011; 10:561-572.
  2. Rehman HU. Primary angiitis of the central nervous system. J R Soc Med 2000; 93:586-588.
  3. Binbaum J, Hellmann DB. Primary angiitis of the central nervous system. Arch Neurol 2009; 66:704-709.
  4. de Boysson H, Boulouis G, Dequatre N, et al; French Vasculitis Study Group. Tumor-like presentation of primary angiitis of the central nervous system. Stroke 2016; 47:2401-2404. 
  5. Topcuoglu MA, Jha RM, George J, Frosch MP, Singhal AB. Hemorrhagic primary CNS angiitis and vasoconstrictive drug exposure. Neurol Clin Pract 2017; 7:26-34.
  6. And 16 more. Subscribe to see the full list

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