Zeiler K, Brunner G, Schnaberth G
Fortschr Neurol Psychiatr Grenzgeb. 1979 Sep;47(9):490-7.
The cerebral angiograms of 11 patients suffering from collagen disease are presented. Panarteriitis nodosa was diagnosed in 4 cases, Lupus erythematodes in 2 cases. With 5 patients immunovasculitis with cerebral affection was found, which was, however, not to be classified in detail. More or less characteristic features are to be expected in the angiogram; they might harden the suspicion of collagen disease, although they are not likely to prove its diagnosis. An interpretation of the radiological findings should--in addition to the morphology--primarily take into account the distribution type of the vessel wall lesions. Clinically as well as by means of angiography it is difficult to differentiate between collagen disease and cerebral arteriitis of different aetiology; this applies particularly to the alterations in cases of embolic circumscribed encephalitis in sepsis lenta. The diagnostic value of angiography in cases of collagen disease with cerebral affection is discussed, the criteria of cerebral arteriitis of different aetiology are dealth with.
本文展示了11例胶原病患者的脑血管造影图像。其中4例诊断为结节性多动脉炎,2例为红斑狼疮。5例患者发现有累及脑部的免疫性血管炎,但无法进行详细分类。血管造影中或多或少会出现一些特征性表现;这些表现可能会增强对胶原病的怀疑,尽管不太可能确诊。对放射学检查结果的解读,除形态学外,主要应考虑血管壁病变的分布类型。临床上以及通过血管造影都很难区分胶原病和不同病因的脑动脉炎;这在慢性脓毒症性栓塞性局限性脑炎病例的改变中尤为适用。本文讨论了血管造影在伴有脑部病变的胶原病病例中的诊断价值,并探讨了不同病因脑动脉炎的诊断标准。