Simeon-Aznar C P, Tolosa-Vilella C, Cuenca-Luque R, Jordana-Comajuncosa R, Ordi-Ros J, Bosch-Gil J A
Department of Internal Medicine, Hospital Vall d'Hebron, Barcelona, Spain.
Br J Rheumatol. 1992 Aug;31(8):555-8. doi: 10.1093/rheumatology/31.8.555.
Transverse myelitis is one of the most serious neurological complications occurring in the course of systemic lupus erythematosus. We describe two lupus patients, with transverse myelitis, one of whom had associated optic neuritis. In both, magnetic resonance imaging of the spinal cord showed an abnormal signal. In one case a good response to steroid and immunosuppressive therapy was observed; the other case failed to improve despite the therapy applied.
横贯性脊髓炎是系统性红斑狼疮病程中最严重的神经系统并发症之一。我们描述了两名患有横贯性脊髓炎的狼疮患者,其中一名伴有视神经炎。两名患者脊髓的磁共振成像均显示信号异常。一例对类固醇和免疫抑制治疗反应良好;另一例尽管接受了治疗仍未改善。