Successful treatment of aneurysmal subarachnoid hemorrhage in polyarteritis nodosa with immunosuppressive therapy: illustrative case

This case suggests that enhanced immunosuppressive therapy may be effective in treating both extracranial and intracranial vascular lesions in PN. In patients with PN, early and serial head imaging may be beneficial. The appearance of de novo aneurysms in the context of disease progression may indicate the need for more aggressive treatment. https://thejns.org/doi/10.3171/CASE25617.

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Journal
Journal of Neurosurgery Case Lessons
Published
2026-01-26
DOI
https://doi.org/10.3171/case25617
Primary Topic
Vasculitis and related conditions
Type
article
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0.00
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article

Successful treatment of aneurysmal subarachnoid hemorrhage in polyarteritis nodosa with immunosuppressive therapy: illustrative case

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Successful treatment of aneurysmal subarachnoid hemorrhage in polyarteritis nodosa with immunosuppressive therapy: illustrative case

Naoto Kunii, Yasuyuki Kamata, Rintaro Kuroda, Tomoya Yagisawa, Katsunari Namba, Kensuke Kawai, Kenji Ibayashi
article en

Abstract

This case suggests that enhanced immunosuppressive therapy may be effective in treating both extracranial and intracranial vascular lesions in PN. In patients with PN, early and serial head imaging may be beneficial. The appearance of de novo aneurysms in the context of disease progression may indicate the need for more aggressive treatment. https://thejns.org/doi/10.3171/CASE25617.

Journal of Neurosurgery Case LessonsVol. 11(4)
Jichi Medical University (JP)
Gender equality, Good health and well-being
Openalex Percentile: Top 79%
Vasculitis and related conditions
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