Hagenah R, Senff S H
Eur Arch Psychiatry Neurol Sci. 1984;234(2):92-6. doi: 10.1007/BF00381213.
In this study 23 cases of immune vasculitis with predominance of neurological symptoms were analysed. Besides patient history and neurological examination, myelotomy is the most relevant means of diagnosis in immune vasculitis. For this reason myelotomy should be integrated in routine diagnostic methods if the diagnosis immune vasculitis is discussed. Other laboratory parameters have no great relevance in the diagnosis of immune vasculitis. A higher specificity of antibody tests, especially in the case of ANA, might be able to replace myelotomy in the diagnosis of immune vasculitis. The relevance of laboratory parameters in the diagnosis of immune vasculitis in neurological patients was examined.
本研究分析了23例以神经症状为主的免疫性血管炎病例。除了患者病史和神经检查外，脊髓活检是免疫性血管炎最相关的诊断方法。因此，如果讨论免疫性血管炎的诊断，脊髓活检应纳入常规诊断方法。其他实验室参数在免疫性血管炎的诊断中相关性不大。抗体检测具有更高的特异性，尤其是抗核抗体检测，可能能够在免疫性血管炎的诊断中取代脊髓活检。研究了实验室参数在神经科患者免疫性血管炎诊断中的相关性。
