在患有贝赫特尿道炎的患者中进行磁共振成像的指示
Anna Borelli1, Jordan Behr, Maria Ruggeri
1Massachusetts Eye Research and Surgery Institution (AB, JB, MR, MH, YZ, CSF), Waltham, Massachusetts; The Ocular Immunology and Uveitis Foundation (AB, JB, MR, MH, YZ, CSF), Waltham, Massachusetts; and Department of Ophthalmology (CSF), Harvard Medical School, Boston, Massachusetts.
概括
贝赫特膜炎经常与神经贝赫特病同时发生,影响近四分之一的患者. 通过神经症状评估和 fundus angiography 的早期检测对于管理这种系统性血管炎至关重要.
科学领域:
- 眼科医生 眼科 眼科
- 神经学 神经学
- 类风湿病学 类风湿病学
背景情况:
- 贝赫特病是一种全身性血管炎,影响眼睛和中枢神经系统.
- 在贝赫特病中神经参与的患病率尚不清楚,但可能与眼部表现相关.
- 这项研究探讨了贝赫特膜炎和神经贝赫特病之间的联系.
研究的目的:
- 调查贝赫特膜炎和神经贝赫特病之间的关联.
- 为了确定患有贝赫特脑膜炎的患者神经参与的危险因素.
- 为了评估神经贝赫特病的诊断工具.
主要方法:
- 对108名患有贝赫特膜炎的患者进行了回顾性分析.
- 数据收集包括脑膜炎的特征,神经症状,光底血管学和MRI发现.
- 马萨诸塞州眼科研究和手术机构的单中心研究.
主要成果:
- 24.1%的贝赫特膜炎患者表现出神经参与.
- 在 fundus angiography 上的视神经泄漏和神经症状与更高的风险有关.
- 在88.5%的神经贝赫特病例中观察到对细胞大脑病变.
结论:
- 在贝赫特病中,眼部和神经系统的参与之间存在很高的并发症.
- 建议对 Behcet 病患者进行神经症状评估和基线 fundus 血管造影.
- 核磁共振 (MRI) 对于诊断渐进或先前存在的神经干预是有价值的.
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