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例1,男,32岁,发作性视野缺损10年。视野缺损以左眼鼻侧为主,每次数分～20分,每天1～10次,并有复视、眩晕、异常感觉、无力、全身痉挛发作、肌痛、关节痛、血CK增高等一过性症状。查体无异常。化验检查:尿蛋白(+),透明管形(+),血小板减少(11.1万/μL),部分凝血活酶时间(APTT)延长(65.1秒),狼疮抗凝血因子阳性,梅毒血清反应假阳性,脑电图见暴发性广泛性慢波,头部MRI见左颞叶内静脉畸形,脑实质无异常,脑血管造影主干动脉未见狭窄。病程中发现多关节炎,抗核抗体阳性,符合SLE诊断标准,心脏超声示轻度二尖瓣及肺动脉瓣征,给予华法令治疗,视
Example 1, male, 32 years old, the onset of visual field defect for 10 years. Visual deficits to the left eye nasal side, each number points ~ 20 points, 1 to 10 times a day, and diplopia, dizziness, abnormal sensation, weakness, generalized spasticity, myalgia, joint pain, elevated blood CK Symptoms. No abnormalities in the examination. Laboratory tests were positive for urinary protein (+), clear tubular (+), thrombocytopenia (111,000 / μL), prolonged partial thromboplastin time (65.1 seconds), positive for lupus anticoagulant, Positive, EEG see the outbreak of extensive slow wave, head MRI see left temporal lobe venous malformations, no abnormal parenchymal brain angiography, no stenosis of the main artery. Found in the course of polyarthritis, anti-nuclear antibody-positive, in line with SLE diagnostic criteria, mild heart disease showed mitral and pulmonary valve sign, given warfarin treatment, depending on