Gonzalez-Scarano F, Lisak R P, Bilaniuk L T, Zimmerman R A, Atkins P C, Zweiman B
Ann Neurol. 1979 Feb;5(2):158-65. doi: 10.1002/ana.410050209.
The cranial computed tomograms of 29 patients with systemic lupus erythematosus (SLE) were reviewed. Twenty-two patients had a clinical course consistent with central nervous system involvement. Of these, 20 had abnormal CT studies during the course of their CNS symptoms. The most common finding was sulcal enlargement, either with or without ventricular enlargement, and it was prominent in patients with either psychosis or dementia. Infarcts and intracranial hemorrhages were seen as well. Seven CT studies were obtained in SLE patients without a clear diagnosis of CNS involvement. Only one of these was abnormal.
回顾了29例系统性红斑狼疮（SLE）患者的头颅计算机断层扫描图像。22例患者的临床病程符合中枢神经系统受累表现。其中，20例在出现中枢神经系统症状的过程中CT检查异常。最常见的表现是脑沟增宽，伴或不伴有脑室扩大，在患有精神病或痴呆的患者中尤为明显。还可见梗死灶和颅内出血。对7例未明确诊断为中枢神经系统受累的SLE患者进行了CT检查。其中只有1例异常。
