Centru medical dedicat patologiei musculoscheletale

Fulminant Brain Atrophy and Vasculitis on Vessel-Wall Imaging in Neuropsychiatric Lupus: Case Report and Literature Review

Brain atrophy, typically slowly progressive, is a hallmark of neuropsychiatric (NP) systemic lupus erythematosus (SLE).
archivesofrheumatology

Brain atrophy, typically slowly progressive, is a hallmark of neuropsychiatric (NP) systemic lupus erythematosus (SLE). In this article, we report a case of a young female patient with previously diagnosed SLE, without known NPSLE, with abrupt neurological deterioration and rapidly progressive diffuse atrophy in a few months. A comprehensive diagnostic work-up and follow-up magnetic resonance imaging (MRI), including high-resolution advanced vessel-wall sequences, revealed underlying cerebral vasculitis. The novelty factors that the present report brings are the rapid progressive atrophy demonstrated on follow-up MRI in a patient with SLE, and the depiction of an underlying vasculitis on specific vessel-wall MRI techniques. We also reviewed the literature and discussed the main current applications of vessel-wall MRI sequences. The aim of the report is to recognize this dramatic form of presentation of NPSLE and the utility of the new MRI techniques for the diagnosis.

vezi tot articolul pe archivesofrheumatology.org

Distribuie:

Str. Galații Noi nr. 5,
Bloc L2, scara 2, parter,
Galați, jud Galați

Program:
Luni – Vineri : 10.00 – 19.30

reumadiagnostic in media

Reumadiagnostic în media

tratamente

Tratamente

Boli de țesut conjunctiv și vasculite 2

Boli de țesut conjunctiv și vasculite

Manifest¦ri musculo-scheletale ale altor boli sistemice1

Manifestări musculo-scheletale ale altor boli sistemice (patologie endocrinologică și diabet, amiloidoze, hepatite și crioglobulinemie)

Patologia cartilajului și a osului subcondral1

Patologia cartilajului și a osului subcondral

Patologia mecanico-degenerativ¦ a coloanei vertebrale 1

Patologia mecanico-degenerativă a coloanei vertebrale

Patologia osoas¦ metabolic¦2

Patologia osoasă metabolică

Reumatism abarticular 1

Reumatism abarticular

Articole din aceeași categorie