Abstract
The first known case of association of giant cell arteritis and normal pressure hydrocephalus is described. The arteritis was cured with corticosteroid therapy while hydrocephalus required ventriculo-peritoneal shunt. The high protein content of cerebrospinal fluid of this patient is probably the pathogenetic mechanism of cerebrospinal fluid block, leading to occult obstructive hydrocephalus.
Sommario
Descriviamo il primo caso noto di associazione di arterite a cellule giganti ed idrocefalo a pressione normale: la prima regredì con terapia cortisonica, il secondo rese necessario una derivazione liquorale. È probabile che la modificazione della componente proteica liquorale sia in questa paziente il movente patogenetico dell'instaurarsi di un idrocefalo ostruttivo occulto.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Amaducci L., Brancati A., Pesciullesi E. eMasi R.:“Normal” pressure hydrocephalus in chronic inflammatory disease: A clinical and laboratory study. Riv. Pat. Nerv. Ment. 98, 11–16, 1977.
Castelman B. andTowne V.:Case records of the Massachusetts general hospital. Case 43. New Engl. J. Med. 295, 944–950, 1976.
Crockard H.A., Hanlon K., Duda E.E. andMullan J.F.:Hydrocephalus as a cause of dementia: evaluation by computerized tomography and intracranial pressure monitoring. J. Neurol. Neuroch. Neurops. 40, 736–740, 1977;
Denny Brown D. The changing pattern of neurologic medicine. N. Engl. J. Med. 246, 839–846, 1952.
Di Rocco C., Di Trapani G., Maira G., Bentivoglio M., Macchi G., Rossi G.F.:Anatomoclinical correlation in normotensive hydrocephalus. J. Neurol. Sci. 33, 437–452, 1977.
Gilmour J.R.:Giant cell chronic arteritis. J. Pathol., 23, 263–277, 1941.
Goodwin J.:Temporal arteritis. from: “Handbook of Clinical Neurology”. Vinken P.J. and Bruyn G.W. eds. North Holland — Vol. 39, 313–342.
Gutierrez Y., Friede R.I. andKaliney W.J.:Agenesis of arachnoid granulations and its relationship to communicating hydrocephalus. J. Neurosurg., 43, 553–558, 1975.
Hakim S. andAdams R.D.:The special clinical problem of symptomatic hydrocephalus with normal cerebrospinal fluid pressure. J. Neurol. Sci. 2, 307–327, 1965.
Horton B.T., Magath T.B. andBrown G.E.:An undescribed form of arteritis of the temporal vessels. Proc. Staff. Meet. Mayo Clin. 7, 700, 1932.
Huckman M.S.:Normal pressure hydrocephalus: evaluation of diagnostic and prognostic tests. A.J.N.R. 2, 385–395, 1981;
Huston K.A.:Giant cell (cranial) arteritis: a clinical review. American Heart J., 99–107, 1980.
Jallou P., Soron PH., Borg M., Kallet F., Jan P. andForce L.:Cécité corticale révélatrice d'une maladie de Horton. Revue Neurologique, 136, II, 769–776, 1980.
Janny P., Flori B., Georget A. M. andVeyre A.:La résistance a l'écoulement du liquide cephalorachidien dans l'hydrocéphalie a pression normale. Rev. Neur., 131, 3, 211–217, 1975.
Jellinger K.:Giant cell granulomatous angiitis of the Central Nervous System. J. of Neurology 215, 175–190, 1977.
McCormick H.M. andNeubuerger K. T.:Giant-cell arteritis involving small meningeal and intracerebral vessels. J. Neuropath. exp Neurol. 17, 471–478, 1958.
Nightingale S., Venables G.S. andBates D.:Polymyalgia rheumatica with diffuse cerebral disease responding rapidly to steroid therapy. J. Neurol. Neurosurg. and Psychiatry 45, 841–843, 1982.
Ridsdale L. andMoseley I.:Thoracolumbar intraspinal tumors presenting features of raised intracranial pressure. J. Neurol. Neurosurg. Psychiatry 41, 737–745, 1978.
Rohkamm R.,Fuhrmeister U.,Aebersold H. andReiners C.:Syphilitic normal pressure hydrocephalus. Abst. 12th World Congress of Neurology. Kioto 1981.
Symon L.:The enigma of normal pressure hydrocephalus. Clinical Neurosurgery 14, 22, 285, 1977.
Tripathi R.C.:Ultrastructure of the arachnoid mater in relation to outflow of cerebrospinal fluid. A new concept. Lancet 1, 8–11, 1973.
Wilkinson I.M.S. andRussel R.W.R.:Arteries of the head and neck in giant cell arteritis. Arch. Neurol. (Chic.), 27, 378–391, 1972.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Girotti, F., Lodrini, S., Grassi, M.P. et al. Giant cell arteritis and normal pressure hydrocephalus. A case report. Ital J Neuro Sci 5, 71–75 (1984). https://doi.org/10.1007/BF02043974
Issue Date:
DOI: https://doi.org/10.1007/BF02043974