HEMICHOREA IN SYSTEMIC LUPUS-ERYTHEMATOSUS - SIGNIFICANCE OF MRI FINDINGS

被引:13
作者
ALJISHI, F [1 ]
ALKAWI, MZ [1 ]
ELRAMAHI, K [1 ]
OMER, S [1 ]
机构
[1] KING FAISAL SPECIALIST HOSP & RES CTR,DEPT MED MBC46,RIYADH 11211,SAUDI ARABIA
关键词
CHOREA; ANTICARDIOLIPINS; VASCULITIS; MOVEMENT DISORDER;
D O I
10.1177/096120339500400416
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A young man with systemic lupus (SLE) developed hemichorea 13 years after the onset of his illness. For the first time in the course of his illness he had a positive test for anticardiolipin antibodies (aCL). Magnetic resonance imaging (MRI) of his brain showed lesions of presumed vascular cause in the ipsilateral basal ganglia. The findings support the contention that an immune phenomenon, invisible on proton imaging by MRI, is responsible for the striatal neuronal activation. Chorea, the clinical expression of this activation, was probably blocked on the side previously affected by vascular pathology.
引用
收藏
页码:321 / 323
页数:3
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