INDOLENT GRANULOMATOUS-ANGIITIS - CASE-REPORT

Granulomatous angiitis is a rare, treatable central nervous system vas culitis. Prompt diagnosis may be thwarted by protean presenting sympto ms, an indolent clinical course, and atypical neurological findings. T he authors describe a case of indolent granulomatous angiitis in which the patient presented with cerebellar signs and tissue changes sugges tive of an atypical cerebellar infarction. After several years of remi ssions and relapses, repeat evaluation and biopsy disclosed granulomat ous angiitis both in remote infarctions and in new cortical lesions. T he clinical course and neuroradiological and pathological findings are compared with previous reports of fulminant and indolent granulomatou s angiitis.