Cerebral trombangiit

Brain vessels obliterative endarteritis affects relatively rare (2-5%). Are involved in pathological process distal cortical segments cerebral arteries. Resulting from the closure of the lumen of the arteries foci of razmagcheniu and small cysts are scattered throughout the area, fed by the artery, and form in the cortex of the brain, the number of small scars (granular atrophy). Typical distribution of this atrophy in the border zone between the arteries. The previously described obliterative endarteritis carotid and vertebral arteries caused not by obliterating endarteritis, and atherosclerosis. Changes in cortical vessels are secondary, due to cerebrovascular insufficiency and stagnant blood clots.
The disease develops gradually and flows slowly, with exacerbations and remissions. In the initial phase appear headaches, dizziness, feeling of weakness, fatigue, memory loss. Then come focal cerebral symptoms in the form of mono - and hemiparesis, disorders of sensitivity of hemianopsia, speech disorders, epilepsy. These symptoms quickly or gradually pass, but again and finally become permanent. Described mental disorders in the form of paintings paranoid psychosis, mania, epileptic psychosis. At the bottom of the eye detected a narrowing of the arteries and veins, sometimes with point hemorrhages. In some cases, can lead to atrophy of the optic nerves after thrombosis of the Central retinal artery. If pneumoencephalography can detect signs of atrophy of cerebral cortex in the form of a large accumulation of air in the subarachnoid spaces, especially in the area of the frontal lobes, and expansion of the ventricles. When arteriography seen increased vascular tortuosity, they are not very extensive in the area of the cortex, is the ground of their narrowed. If a patient under the age of 40 years with cerebral vascular events show signs of obliterating endarteritis on his feet, then the diagnosis is not difficult. It is difficult to make a diagnosis in cases where the symptoms from the side of the limbs missing. In the age of 40-50 years distinguish the disease from atherosclerosis is almost impossible.
Treatment is the same as obliterative endarteritis limbs.