论文部分内容阅读
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 investigate the CT manifestations and diagnostic value of central nervous system lupus. Methods: Eleven patients with systemic lupus erythematosus (SLE) diagnosed with active systemic lupus erythematosus (SLE) were enrolled in this study. Their CT findings were analyzed in patients with lupus brain with symptoms and signs of central nervous system. Results: (1) Low-density lesion in indefinite part showed patchy, strip-like and large flake with partial symmetry and no peripheral edema and mass effect; (2) mild brain shrinkage; (3) hydrocephalus. Conclusion: Combined with clinical data and CT diagnosis of central nervous system lupus, CT findings should be distinguished from cerebral infarction and multiple sclerosis. Diagnosis of the disease need to be closely combined with clinical history, CT signs of lack of specificity.