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神经精神性系统性红斑狼疮的磁共振表现
引用本文:黄劲柏,徐海波,孔祥泉,刘定西,熊茵,刘刚,王伟,李志勇,郭大静. 神经精神性系统性红斑狼疮的磁共振表现[J]. 实用放射学杂志, 2007, 23(5): 584-586
作者姓名:黄劲柏  徐海波  孔祥泉  刘定西  熊茵  刘刚  王伟  李志勇  郭大静
作者单位:1. 湖北省荆州市长江大学医学院医学影像系
2. 华中科技大学同济医学院附属协和医院放射科,湖北,武汉,430022
摘    要:目的探讨神经精神性系统性红斑狼疮(NPSLE)的磁共振诊断价值。方法回顾性分析经临床证实的16例NPSLE的头颅磁共振表现。结果16例NPSLE患者的头颅MRI异常者13例,阳性率81.3%。其MRI表现为:(1)13例均为大脑半球受累,灰白质均可累及;(2)脑内多发片状异常信号8例(61.5%),分布无规律;(3)脑梗塞7例,脑水肿4例,出血2例;(4)脑萎缩2例;(5)5例增强扫描均无明显强化。结论结合临床资料,MRI可以诊断NPSLE。

关 键 词:红斑狼疮,系统性    磁共振成像
文章编号:1002-1671(2007)05-0584-04
修稿时间:2006-06-20

The Appearances of Neuropsychiatric Systemic Lupus Erythematosus on MRI
HUANG Jin-bai,XU Hai-bo,KONG Xiang-quan,LIU Ding-xi,XIONG Yin,LIU Gang,WANG Wei,LI Zhi-yong,GUO Da-jing. The Appearances of Neuropsychiatric Systemic Lupus Erythematosus on MRI[J]. Journal of Practical Radiology, 2007, 23(5): 584-586
Authors:HUANG Jin-bai  XU Hai-bo  KONG Xiang-quan  LIU Ding-xi  XIONG Yin  LIU Gang  WANG Wei  LI Zhi-yong  GUO Da-jing
Abstract:Objective To explore the value of MRI in diagnosing neuropsychiatric systemic lupus erythematosus(NPSLE).Methods MRI appearances of NPSLE in 16 cases verified by clinic were analyzed retrospectively.Results Of the 16 cases,there were 13 cases with abnormal MR appearances.MRI findings of NPSLE were:(1) cerebral hemisphere involvement in all the 13 cases and gray and white matter involvement often;(2) multiple lamellar abnormal signal intensity in 8 cases,low signal intensity on T1WI and high signal intensity on T2WI and irregular distribution;(3) cerebral infarction in 7 cases,edema of brain in 4 cases and hemorrhage in 2 cases;(4) brain atrophy in 2 cases;(5) no obvious enhancement on contrast-enhanced scan in 5 cases.Conclusion In combination with clinical data,MRI can diagnose NPSLE exactly.
Keywords:lupus erythematosus  systemic  brain  MR imaging
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