Relevance of Brain MRI in Patients with Uveitis: Retrospective Cohort on 402 Patients.
Ocul Immunol Inflamm
; 30(5): 1109-1115, 2022 Jul.
Article
em En
| MEDLINE
| ID: mdl-33826481
ABSTRACT
AIM:
To assess the diagnostic value of brain magnetic resonance imaging (bMRI) for the etiological diagnosis of uveitis and to establish predictive factors associated with its advantageous use.METHODS:
Retrospective study on all patients with de novo uveitis who were referred to our tertiary hospital and who underwent a bMRI between 2003 and 2018.RESULTS:
bMRI was contributive in 19 out of 402 cases (5%), among patients with a contributive bMRI, 68% had neurological signs. Univariate analysis established that neurological signs (p < .001), granulomatous uveitis (p = .003), retinal vasculitis (p = .002), and intermediate uveitis (p < .001) were all significantly associated with a contributive bMRI. Multivariate analysis confirms the significant association of neurological signs (p < .001) and intermediate uveitis (p = .01).CONCLUSION:
bMRI appears to be a relevant exam in specific cases; intermediate/posterior uveitis or panuveitis accompanied by neurological signs, retinal vasculitis, or in patients older than 40, to rule out an oculocerebral lymphoma. ABBREVIATIONS ACE Angiotensin-Converting Enzyme; bMRI Magnetic Resonance Imaging; CBC Complete Blood cell Count; BMRI Brain Magnetic Resonance Imaging; CT Computerized Tomography; MS Multiple Sclerosis; NS Neurological Signs; OCL Oculocerebral Lymphoma; RIS Radiologically Isolated Syndrome.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Uveíte
/
Uveíte Intermediária
/
Vasculite Retiniana
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Humans
Idioma:
En
Revista:
Ocul Immunol Inflamm
Assunto da revista:
ALERGIA E IMUNOLOGIA
/
OFTALMOLOGIA
Ano de publicação:
2022
Tipo de documento:
Article
País de afiliação:
França