Iguchi Yasuyuki, Kimura Kazumi, Inoue Tsuyoshi, Ueno Yuji, Sunada Yoshihide
Department of Stroke Medicine and Neurology, Kawasaki Medical School, 577 Matsushima, Kurashiki City, Okayama 701-0192, Japan.
J Clin Neurosci. 2007 Mar;14(3):273-5. doi: 10.1016/j.jocn.2005.12.050.
We report herein the case of a 27-year-old woman with neuropsychiatric lupus who experienced disturbance of consciousness and left hemiparesis. Steroid treatment was initiated and symptoms resolved within 2 months. T2- and diffusion-weighted imaging revealed signal hyper intensity in the right cerebral cortex. Apparent diffusion coefficient values in these lesions increased, but normalized over 2 months. These findings indicate that cortical lesions in patients with neuropsychiatric lupus could represent vasogenic oedema.
我们在此报告一例27岁患有神经精神性狼疮的女性病例，该患者出现意识障碍和左侧偏瘫。开始使用类固醇治疗，症状在2个月内得到缓解。T2加权成像和弥散加权成像显示右侧大脑皮质信号高强度。这些病变的表观扩散系数值增加，但在2个月内恢复正常。这些发现表明，神经精神性狼疮患者的皮质病变可能代表血管源性水肿。
