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The utility and safety of brain biopsy for suspected primary angiitis of the central nervous system (PACNS) are uncertain. Factors predictive of a positive biopsy have not been well described. Our aim was to evaluate the diagnostic yield and safety of brain biopsy in suspected PACNS and determine whether any prebiopsy variables are associated with a positive biopsy.This is a retrospective study of consecutive patients who underwent diagnostic brain biopsy for PACNS at a single institution. The relationship between biopsy yield and patient demographics, surgical technique, laboratory testing, neuroimaging, biopsy characteristics, and prebiopsy immunosuppressive therapy were examined.PACNS was confirmed in 9 of 79 patients (11

作者:Jose, Torres;Caitlin, Loomis;Brett, Cucchiara;Michelle, Smith;Steven, Messé

来源:Stroke 2016 年 47卷 8期

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作者:
Jose, Torres;Caitlin, Loomis;Brett, Cucchiara;Michelle, Smith;Steven, Messé
来源:
Stroke 2016 年 47卷 8期
标签:
PACNS biopsy brain central nervous system vasculitis
The utility and safety of brain biopsy for suspected primary angiitis of the central nervous system (PACNS) are uncertain. Factors predictive of a positive biopsy have not been well described. Our aim was to evaluate the diagnostic yield and safety of brain biopsy in suspected PACNS and determine whether any prebiopsy variables are associated with a positive biopsy.This is a retrospective study of consecutive patients who underwent diagnostic brain biopsy for PACNS at a single institution. The relationship between biopsy yield and patient demographics, surgical technique, laboratory testing, neuroimaging, biopsy characteristics, and prebiopsy immunosuppressive therapy were examined.PACNS was confirmed in 9 of 79 patients (11