【摘要】 目的 :探讨系统性红斑狼疮性脑病 (SLEE)的CT表现。方法 :系统性回顾分析本院 1995年 2月～ 2 0 0 1年5月经临床证实的SLEE 12例 ,均为女性 ,年龄 16～ 3 5岁 ,平均 2 6.4岁 ;采用SiemensSomatomARC型CT机行颅脑CT检查 ,并分析其CT表现。结果 :主要CT表现 :①大片状脑梗死 ( 3例 ) ,部位不定 ,单发或多发 ,形态不规则 ,边界模糊 ,占位效应较轻 ;②腔隙性脑梗死 ( 9例 ) ,主要位于基底节区及脑干 ;③轻度脑萎缩 ( 5例 ) ,局部性或弥漫性。结论 :SLEE的CT检查有较高敏感性 ,缺乏特异性 ,但结合临床资料可以早期确诊并指导临床治疗。更多还原

【Abstract】 Objective:To study the CT finding of systemic lupus erythematosus encephalopathy (SLEE).Methods:The CT findings of 12 cases with SLEE (16～35 years old,all well females) proved by clinical data were retrospectively analyzed.Results:The main CT findings of SLEE were: ①Cerebral infarction presenting large patches(3 cases) characterized by indefinite position,single or multiple foci,irregular shape,indistinct border,and mild mass effect.②Lacunar infarction (9 cases),mostly in region of basal ganglion and brain stem.③Mild brain atrophy (5 casses) which was local or diffuse.Conclusion:CT Scanning is a sensitive method for diagnosis of SLEE,with low specitificity.If closely combined with clinical informations,CT scanning can make correct diagnosis in time and provide helpful information for clinical treatment.更多还原