[不同病因的胶原病和动脉炎的脑血管造影(作者译)]。

K Zeiler, G Brunner, G Schnaberth
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引用次数: 0

摘要

本文报道11例胶原蛋白病患者的脑血管造影。结节性全动脉炎4例,红斑狼疮2例。5例发现伴脑性免疫血管炎,但未详细分类。在血管造影中或多或少可以看到一些特征性的特征;它们可能会加强对胶原蛋白疾病的怀疑,尽管它们不太可能证明其诊断。除形态学外,对影像学表现的解释应主要考虑血管壁病变的分布类型。胶原蛋白病与不同病因的脑动脉炎在临床及血管造影诊断上存在一定的困难;这尤其适用于脓毒症晚期栓塞性局限性脑炎病例的改变。探讨了血管造影在胶原蛋白病变伴脑损伤病例中的诊断价值,并对不同病因的脑动脉炎的诊断标准进行了探讨。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Cerebral angiography in collagen disease and arteritis of different aetiology (author's transl)].

The cerebral angiograms of 11 patients suffering from collagen disease are presented. Panarteriitis nodosa was diagnosed in 4 cases, Lupus erythematodes in 2 cases. With 5 patients immunovasculitis with cerebral affection was found, which was, however, not to be classified in detail. More or less characteristic features are to be expected in the angiogram; they might harden the suspicion of collagen disease, although they are not likely to prove its diagnosis. An interpretation of the radiological findings should--in addition to the morphology--primarily take into account the distribution type of the vessel wall lesions. Clinically as well as by means of angiography it is difficult to differentiate between collagen disease and cerebral arteriitis of different aetiology; this applies particularly to the alterations in cases of embolic circumscribed encephalitis in sepsis lenta. The diagnostic value of angiography in cases of collagen disease with cerebral affection is discussed, the criteria of cerebral arteriitis of different aetiology are dealth with.

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