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以癫痫发作为表现的线性硬皮病（en coup de sabre型）的高级神经影像学和临床发现

Advanced Neuroimaging and Clinical Findings in a Case of Linear Scleroderma En Coup De Sabre Presenting With Seizures.

作者信息

Kimura Yukiyoshi, Soto-Trujillo Dafne, Fernandez-Leon Karen

机构信息

Radiology, Grupo CT Scanner, Mexico City, MEX.

出版信息

Cureus. 2024 Nov 28;16(11):e74687. doi: 10.7759/cureus.74687. eCollection 2024 Nov.

DOI:10.7759/cureus.74687
PMID:39735142
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11681951/
Abstract

Scleroderma is a rare connective tissue disease categorized as systemic or localized. Linear subtype of localized scleroderma usually manifests as a cutaneous linear scar-like lesion most commonly on the scalp. It may present with neurologic, ophthalmologic, and rheumatologic symptoms. We present a case of a 24-year-old female patient with a band-like scalp brown sclerotic lesion in the left upper frontal region presenting with headaches and a first-time seizure who underwent 3.0-T magnetic resonance and described the structural and advanced neuroimaging findings, including perfusion and spectroscopy, that may help narrow differential diagnosis of linear scleroderma.

摘要

硬皮病是一种罕见的结缔组织疾病，分为系统性或局限性。局限性硬皮病的线性亚型通常表现为皮肤线性瘢痕样病变，最常见于头皮。它可能伴有神经、眼科和风湿症状。我们报告一例24岁女性患者，左上额区有带状头皮棕色硬化性病变，伴有头痛和首次癫痫发作，该患者接受了3.0-T磁共振成像检查，并描述了可能有助于缩小线性硬皮病鉴别诊断范围的结构和先进神经影像学表现，包括灌注和波谱分析。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4083/11681951/1780c1dde79f/cureus-0016-00000074687-i08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4083/11681951/1a8e04a3e8a9/cureus-0016-00000074687-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4083/11681951/509205335a53/cureus-0016-00000074687-i02.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4083/11681951/af5ea513ea89/cureus-0016-00000074687-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4083/11681951/d955eee134ee/cureus-0016-00000074687-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4083/11681951/e1007d178c39/cureus-0016-00000074687-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4083/11681951/61b5ebea5e11/cureus-0016-00000074687-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4083/11681951/1780c1dde79f/cureus-0016-00000074687-i08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4083/11681951/1a8e04a3e8a9/cureus-0016-00000074687-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4083/11681951/509205335a53/cureus-0016-00000074687-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4083/11681951/76b4d456dafd/cureus-0016-00000074687-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4083/11681951/af5ea513ea89/cureus-0016-00000074687-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4083/11681951/d955eee134ee/cureus-0016-00000074687-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4083/11681951/e1007d178c39/cureus-0016-00000074687-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4083/11681951/61b5ebea5e11/cureus-0016-00000074687-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4083/11681951/1780c1dde79f/cureus-0016-00000074687-i08.jpg

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本文引用的文献

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Linear scleroderma en coup de sabre presenting with seizures.以癫痫发作为表现的线性硬皮病（剑伤样硬皮病）
Radiol Case Rep. 2020 Sep 3;15(11):2164-2170. doi: 10.1016/j.radcr.2020.08.011. eCollection 2020 Nov.
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Neuroimaging and clinical findings in a case of linear scleroderma en coup de sabre.线性硬皮病“剑伤样”患者的神经影像学和临床发现
Radiol Case Rep. 2018 Mar 6;13(3):545-548. doi: 10.1016/j.radcr.2018.02.001. eCollection 2018 Jun.
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Brain cavernomas associated with en coup de sabre linear scleroderma: Two case reports.脑内动静脉畸形伴线性硬皮病：两例报告。
Pediatr Rheumatol Online J. 2011 Jul 29;9:18. doi: 10.1186/1546-0096-9-18.
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