摘要
目的 :探讨CT对中枢神经系统狼疮的表现及诊断价值。方法 :选择 11例确诊为活动期系统性红斑狼疮(SystemicLupusErythematosus ,SLE) ,且均有中枢神经系统的症状与体征的狼疮脑患者 ,分析他们的CT表现。结果 :(1)不定部位的低密度病灶 ,呈斑片状、条状、大片状 ,部分呈多发对称性 ,周围无水肿及占位效应 ;(2 )轻度脑蒌缩 ;(3)脑积水。结论 :结合临床资料及CT可诊断中枢神经系统狼疮 ,其CT所见需与脑梗塞、多发性硬化相鉴别。诊断此病需密切结合临床病史 ,CT征象缺乏特异性。
Objective: To evaluate the CT characteristics of central nervous system (CNS) of the patients with systemic lupus erythematosus (SLE) and its value for diagnosis of cerebral lupus. Methods: The CT findings of CNS of 11 patients with active SLE diagnosed clinically, all having symptoms and physical signs of lesions of CNS, were studied retrospectively. Results: The CT features of cerebral lupus were: (1) Low density foci, spot or /and patch in shape, scattered throughout the white or/and gray matter, without peripheral edema and space occupying effect. (2) Mild encephalatrophy. (3) Hydrocephalus. Conclusion: Combined with the clinical data, the CT scan is helpful for the diagnosis of cerebral lupus. As the absence of specificity, the CT diagnosis should be differentiated with that of brain infarction and multiple sclerosis.
出处
《江西医学院学报》
2000年第3期81-82,F002,共3页
Acta Academiae Medicinae Jiangxi
