Use of single photon emission computed tomography and magnetic resonance to evaluate central nervous system involvement in patients with juvenile systemic lupus erythematosus

The objective of the present study was to identify the single photon emission computed tomography (SPECT) and magnetic resonance (MR) findings in juvenile systemic lupus erythematosus (JSLE) patients with CNS involvement and to try to correlate them with neurological clinical history data and neurol...

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Access type:openAccess
Publication Date:2002
Main Author: Prismich, Glaucia [UNIFESP]
Other Authors: Hilário, Maria Odete Esteves [UNIFESP], Len, Claudio Arnaldo [UNIFESP], Terreri, Maria Teresa Ramos Ascensão [UNIFESP], Quaresma, Marina Rodrigues [UNIFESP], Alonso, Gilberto [UNIFESP], Sevillano, Marta Maite [UNIFESP], Lederman, Henrique Manoel [UNIFESP]
Document type: Article
Language:eng
Published: Associação Brasileira de Divulgação Científica
English subjects:
Online Access:http://repositorio.unifesp.br/handle/11600/1477
http://dx.doi.org/10.1590/S0100-879X2002000700007
Citation:Brazilian Journal of Medical and Biological Research. Associação Brasileira de Divulgação Científica, v. 35, n. 7, p. 805-810, 2002.
English abstract:The objective of the present study was to identify the single photon emission computed tomography (SPECT) and magnetic resonance (MR) findings in juvenile systemic lupus erythematosus (JSLE) patients with CNS involvement and to try to correlate them with neurological clinical history data and neurological clinical examination. Nineteen patients with JSLE (16 girls and 3 boys, mean age at onset 9.2 years) were submitted to neurological examination, electroencephalography, cerebrospinal fluid analysis, SPECT and MR. All the evaluations were made separately within a period of 15 days. SPECT and MR findings were analyzed independently by two radiologists. Electroencephalography and cerebrospinal fluid analysis revealed no relevant alterations. Ten of 19 patients (53%) presented neurological abnormalities including present or past neurological clinical history (8/19, 42%), abnormal neurological clinical examination (5/19, 26%), and abnormal SPECT or MR (8/19, 42% and 3/19, 16%, respectively). The most common changes in SPECT were cerebral hypoperfusion and heterogeneous distribution of blood flow. The most common abnormalities in MR were leukomalacia and diffuse alterations of white matter. There was a correlation between SPECT and MR (P<0.05). We conclude that SPECT and MR are complementary and useful exams in the evaluation of neurological involvement of lupus.