Servioli María J, Chugh Chandril, Lee John M, Biller José
Department of Neurology, Stritch School of Medicine, Loyola University Chicago Chicago, IL, USA.
Front Neurol. 2011 Dec 26;2:84. doi: 10.3389/fneur.2011.00084. eCollection 2011.
An 80-year-old woman with rheumatoid arthritis had gait difficulties and frequent falls. MRI of the brain showed an extra-axial enhancing lesion overlying the right frontal-parietal cortex, that progressively extended to the contralateral side. This was accompanied by further decline in her functional status. We discuss the diagnostic and therapeutic approach of a pachy-leptomeningeal process in a rheumatoid patient.
一名80岁患类风湿关节炎的女性存在步态困难且频繁跌倒。脑部磁共振成像(MRI)显示右额顶叶皮质上方有一个轴外强化病变,该病变逐渐扩展至对侧。这伴随着她功能状态的进一步下降。我们讨论了类风湿患者中厚-软脑膜病变的诊断和治疗方法。