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題名 | Hydrocephalus in Systemic Lupus Erythematosus with Antiphospholipid Antibodies=水腦症發生在紅斑狼瘡且帶有抗磷脂抗体之病人 |
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作者 | 蘇哲俊; 陳茂源; 陳正言; | 書刊名 | 慈濟醫學 |
卷期 | 9:2 1997.06[民86.06] |
頁次 | 頁149-153 |
分類號 | 415.695 |
關鍵詞 | 系統性紅斑狼瘡; 水腦症; 抗磷脂抗体症候群; Systemic lupus erythematosus; Hydrocephalus; Antiphosphlipid syndrome; |
語文 | 英文(English) |
英文摘要 | 我們報告一位 26 歲紅斑狼瘡病人發生水腦症之個案。病人在產生水腦前表現紅 斑、溶血、高血壓、腎炎及漿膜炎等症狀。病人帶有抗磷脂抗體且表現腦梗塞及血小板低下 等症狀。病人接受緊急腦室腹腔引流,沒有神經學後遺症。我們將文獻上有關紅斑狼瘡,抗 磷脂抗體症候群,及水腦症的個案做一回顧。我們建議臨床上紅斑狼瘡病人,特別是具有高 活動性者,若發生腦壓上昇之症狀,當考慮水腦症之可能性,緊急腦室腹腔引流及抗凝血治 療必需給與。 soon after the diagnosis of hydrocephalus was made by CAT scan of the head, and no neurological sequela remained. a magnetic resonance (MR) image of the head confirmed cerebral infarctions. Previous cases of hydrocephalus in SLE patients are also reviewed in the present report. We suggest that when increased intracranial pressure is suspected in patients with SLE, especially in those with high disease activity, a search for hydrocephalus and antiphospholipid syndrome is warranted. If hydrocephalus is confirmed, emergent VP shunting and anticoagulant therapy should be given. |
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