Black-blood magnetic resonance imaging suggesting central nervous system vasculitis in moyamoya syndrome associated with systemic lupus erythematosus.

IF 2.7 Q3 IMMUNOLOGY
Immunological Medicine Pub Date : 2021-12-01 Epub Date: 2021-02-17 DOI:10.1080/25785826.2021.1878728
Keiichiro Kadoba, Keisuke Nishimura, Daisuke Waki, Tsutomu Okada, Takao Kumazawa, Rintaro Saito, Hiroyuki Murabe, Toshihiko Yokota
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引用次数: 0

Abstract

Moyamoya syndrome is a cerebrovascular disorder characterized by bilateral stenosis and occlusion of the internal carotid arteries and their branches. A 45-year-old woman with a history of systemic lupus erythematosus was admitted for recurrent ischemic strokes. Magnetic resonance (MR) angiography revealed moyamoya-like vasculopathy. Black-blood gadolinium-based contrast-enhanced MR images showed strong, concentric enhancement along the occluded arteries, which suggested vasculitis as the etiology of moyamoya-like vasculopathy. Intensive immunosuppressive therapy combined with anticoagulation therapy and rehabilitation led to a favorable outcome in this case. Black-blood MR imaging can be a non-invasive and prompt imaging modality when central nervous system vasculitis is suspected.

黑血磁共振成像提示烟雾综合征与系统性红斑狼疮相关的中枢神经系统血管炎。
烟雾综合征是一种以双侧颈内动脉及其分支狭窄和闭塞为特征的脑血管疾病。一位45岁女性,有系统性红斑狼疮病史,因复发性缺血性中风入院。磁共振血管造影显示烟雾样血管病变。黑血钆增强MR图像显示沿闭塞动脉呈强烈同心强化,提示血管炎可能是烟雾样血管病变的病因。强化免疫抑制治疗结合抗凝治疗和康复治疗导致了这个病例良好的结果。当怀疑中枢神经系统血管炎时,黑血磁共振成像可以是非侵入性和及时的成像方式。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Immunological Medicine
Immunological Medicine Medicine-Immunology and Allergy
CiteScore
7.10
自引率
2.30%
发文量
19
审稿时长
19 weeks
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