logo BDSP

Base documentaire


  1. Magnetic resonance imaging of the brain and cerebral proton spectroscopy in patients with systemic lupus erythematosus.

    Article - En anglais

    Objective

    To investigate the prevalence and extent of cerebral changes in patients with systemic lupus erythematosus (SLE) by magnetic resonance imaging (MRI) and magnetic resonance spectroscopy (MRS).

    Methods

    SLE patients (47 women) and controls (25 women) underwent 1.5T MRI.

    A semiautomated segmentation technique calculated cerebrospinal fluid (CSF) and brain volumes.

    Proton MRS of the frontal and parieto-occipital white matter yielded metabolite ratios of N-acetyl groups (NA), choline, and creatine.

    Results

    Compared with the control group, the SLE patients more often had cerebral atrophy on MRI (32% versus 0%), confirmed by an increase in the CSF to intracranial volume ratio.

    The patients also had old infarcts and hemorrhages (8.5% versus 0%) and more small white matter lesions (23% versus 8% had>5 such lesions).

    MRS showed relative reduction of NA peaks.

    Although no patient was studied when acutely ill, prior neurologic involvement was related to abnormal findings.

    Conclusion

    MRI and MRS are helpful in the investigation of cerebral complications of SLE.

    There are chronic changes which may be ischemic in nature.

    Their precise cause, consequences, and prevention are current challenges.

    Mots-clés Pascal : Lupus érythémateux, Disséminé, Homme, Encéphale pathologie, Complication, Imagerie RMN, Spectrométrie RMN, Prévalence, Epidémiologie, Peau pathologie, Tissu conjonctif pathologie, Maladie système, Maladie autoimmune, Immunopathologie, Système nerveux pathologie, Système nerveux central pathologie, Imagerie médicale

    Mots-clés Pascal anglais : Lupus erythematosus, Disseminated, Human, Cerebral disorder, Complication, Nuclear magnetic resonance imaging, NMR spectrometry, Prevalence, Epidemiology, Skin disease, Connective tissue disease, Systemic disease, Autoimmune disease, Immunopathology, Nervous system diseases, Central nervous system disease, Medical imagery

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 97-0151240

    Code Inist : 002B07. Création : 21/05/1997.