Kobayashi H, Saito Y, Kaneko Y, Ishimoto K, Ohnishi Y
Division of Neurology, Niigata City General Hospital.
Rinsho Shinkeigaku. 1992 Jul;32(7):763-6.
A 45-year-old woman complained of fever, arthralgia and left hemiparesis. She had suffered from recurrent oral aphthous ulcers, genital ulcers, uveitis and erythema nodosum. Laboratory examination demonstrated pleocytosis in the cerebrospinal fluid. MRI showed foci of high signal intensity on the T2-weighted images in the right pontine base, surrounded by a rim of low signal intensity suggestive of small hemorrhages. Following steroid therapy, these symptoms diminished and abnormal findings in brain MRI improved. This MRI findings may be due to hemosiderin deposition at recent stage resulting hemorrhages in foci of acute inflammation stage. We would like to emphasize that MRI are useful to evaluate the lesion of neuro-Behçet's disease and some lesions may behave like hemorrhages.
一名45岁女性主诉发热、关节痛和左侧偏瘫。她曾反复出现口腔阿弗他溃疡、生殖器溃疡、葡萄膜炎和结节性红斑。实验室检查显示脑脊液中细胞增多。MRI显示右侧脑桥基底部T2加权像上有高信号灶,周围有低信号环,提示小出血。类固醇治疗后,这些症状减轻,脑MRI的异常表现改善。这种MRI表现可能是由于急性炎症期病灶出血后近期含铁血黄素沉积所致。我们想强调的是,MRI有助于评估神经白塞病的病变,一些病变可能表现为出血。