类风湿关节炎中枢神经系统受累：其临床表现及磁共振成像分析

Involvement of the central nervous system in rheumatoid arthritis: its clinical manifestations and analysis by magnetic resonance imaging.

作者信息

Ando Y, Kai S, Uyama E, Iyonaga K, Hashimoto Y, Uchino M, Ando M

机构信息

First Department of Internal Medicine, Kumamoto University School of Medicine.

出版信息

Intern Med. 1995 Mar;34(3):188-91. doi: 10.2169/internalmedicine.34.188.

DOI:10.2169/internalmedicine.34.188

PMID:7787325

Abstract

A rheumatoid arthritis (RA) patient showed high signal intensity in the subcortical region of the frontal and occipital lobes on T2-weighted magnetic resonance imaging (MRI). Histopathological examination in the autopsy specimen revealed severe systemic vasculitis. Additional radiological and laboratory studies revealed that transient cerebral ischemia induced by vasculitis occurred in this patient.

摘要

一名类风湿性关节炎（RA）患者在T2加权磁共振成像（MRI）上显示额叶和枕叶皮质下区域信号强度增高。尸检标本的组织病理学检查显示严重的系统性血管炎。进一步的影像学和实验室研究表明，该患者发生了由血管炎引起的短暂性脑缺血。