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Recovery from Rheumatoid Cerebral Vasculitis by Low-Dose Methotrexate
1994
Internal medicine (Tokyo. 1992)
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Wereport the successful managementof cerebral vasculitis in a 46-year-old womanwith longstanding rheumatoid arthritis with low-dose methotrexate. She suddenly developed dysarthria and left hemiparesis. Magnetic resonance imaging disclosed ischemia of the right pons, and angiography demonstrated cerebral vasculitis of vertebro-basilar arteries. The vasculitis was refractory with high-dose steroid therapy, which had only transient clinical benefit, and evolution to the pontine infarction
doi:10.2169/internalmedicine.33.615
fatcat:6ey2yl53ybgtzkpfe2rkhoexiu