Furusu H, Matsuo H, Nakao K, Ueda Y, Aoi W
Department of Internal Medicine, Japanese Red Cross Nagasaki Atomic Bomb Hospital, Nagasaki.
Intern Med. 1995 Mar;34(3):216-9. doi: 10.2169/internalmedicine.34.216.
A 31-year-old blind man presented with numbness and weakness in the left hand, and elevated blood pressure. Multiple hemangioblastomas in the spinal cord associated with syringomyelia were well demonstrated by gadolinium-enhanced magnetic resonance imaging (MRI). He also had pheochromocytoma in the right adrenal gland, which was disclosed by abdominal computed tomography, MRI and 131I-metaiodobenzylguanidine scintigraphy. MRI screening should be considered for patients with von Hippel-Lindau gene to detect the multiple lesions in this disease.
一名31岁的盲人出现左手麻木和无力以及血压升高的症状。钆增强磁共振成像(MRI)清晰显示脊髓内多个与脊髓空洞症相关的血管母细胞瘤。他右侧肾上腺还有嗜铬细胞瘤,通过腹部计算机断层扫描、MRI和131I-间碘苄胍闪烁扫描得以发现。对于携带冯·希佩尔-林道基因的患者,应考虑进行MRI筛查以检测该疾病中的多个病灶。