Al Kawi M Z, Bohlega S, Banna M
Department of Medicine, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia.
Neurology. 1991 Mar;41(3):405-8. doi: 10.1212/wnl.41.3.405.
We report MRI findings in 6 patients with Behçet's disease and CNS involvement. There were 3 different stages of imaging appearance: (1) During the acute illness, there were scattered areas of high signal intensity on T2-weighted images with predilection to the central structures of the cerebrum, the cerebral peduncles, and basis pontis. (2) During the recovery phase, most of these findings improved, but some white matter high signal areas persisted in the upper brainstem and peripheral subcortical white matter. Occasionally, findings were suggestive of microhematoma. (3) During the chronic phase, atrophy of posterior fossa structures became evident with decreased signal intensity suggestive of hemosiderin deposits.
我们报告了6例患有白塞病且累及中枢神经系统患者的MRI检查结果。有3种不同的影像学表现阶段:(1)在急性期,T2加权图像上有散在的高信号区,好发于大脑中央结构、脑桥基底部和脑桥。(2)在恢复期,这些表现大多有所改善,但一些白质高信号区仍存在于上脑干和外周皮质下白质。偶尔,表现提示微血肿。(3)在慢性期,后颅窝结构萎缩明显,信号强度降低提示含铁血黄素沉积。