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磁共振成像在1例冷球蛋白阴性丙型肝炎病毒感染患者中枢神经系统血管炎中的应用:一种可能的关联

Magnetic resonance imaging in central nervous system vasculitis in a patient affected by crioglobulin-negative hepatitis C virus infection: A likely correlation.

作者信息

Squarza Silvia, Galli Alberto, Cariati Maurizio, Alberici Federico, Bertolini Valentina, Frediani Fabio, Uggetti Carla

机构信息

Departments of 1Radiology, 2Neurology, 3Nephrology and Dialysis and 4Pathologic Anatomy, San Carlo Borromeo General Hospital, Italy.

出版信息

Neuroradiol J. 2018 Apr;31(2):193-195. doi: 10.1177/1971400917700437. Epub 2017 Jul 24.

Abstract

A 56-year-old man with behavioural disorders and facial-brachio-crural right hemiparesis presented with a brain lesion studied with computed tomography, magnetic resonance imaging and brain biopsy, leading to the diagnosis of cerebral vasculitis. Hepatitis C virus (HCV) infection in a phase of activity, without cryoglobulins, was also detected. Brain biopsy, laboratory analysis and response to a specific therapy supported the diagnosis of central nervous system vasculitis that was HCV related.

摘要

一名56岁男性,有行为障碍和右侧面部-臂-股偏瘫,因脑部病变接受了计算机断层扫描、磁共振成像和脑活检,最终诊断为脑血管炎。同时还检测到处于活动期的丙型肝炎病毒(HCV)感染,无冷球蛋白血症。脑活检、实验室分析及对特定治疗的反应均支持与HCV相关的中枢神经系统血管炎的诊断。

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本文引用的文献

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World J Hepatol. 2016 Apr 28;8(12):545-56. doi: 10.4254/wjh.v8.i12.545.
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Hepatitis C virus and the brain.丙型肝炎病毒与大脑。
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Cryoglobulinemia.冷球蛋白血症
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