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多系统萎缩的临床与MRI特征
引用本文:王胜军,迟兆富,迟令懿,刘学伍
.多系统萎缩的临床与MRI特征[J].山东大学学报(医学版),2009,47(2):85-87.
作者姓名:王胜军  迟兆富  迟令懿  刘学伍
作者单位:王胜军,迟兆富,刘学伍,WANG Sheng-jun,CHI Zhao-fu,LIU Xue-wu(山东大学齐鲁医院神经内科,济南,250012);迟令懿,CHI Ling-yi(山东大学刘鲁医院神经外科,济南,250012)  
摘    要:目的探讨多系统萎缩 (MSA) 的临床、磁共振成像 (MRI) 特征及MRI对临床诊断的意义。方法回顾性分析32例MSA患者的临床及MRI资料,并探讨MRI特征与临床表现的关系。结果MSA的临床与MRI表现复杂,MSA c小脑体征突出,MRI表现为脑桥、小脑中脚、蚓部萎缩,T2WI出现脑桥、小脑中脚高信号,并与临床小脑损害特征具有较高的一致性(P<0.05) ;MSA p帕金森样症状明显,MRI改变多位于基底节核团,表现为壳核萎缩,T2WI壳核背外部低信号、壳核外侧缘高信号,后者与临床帕金森样症状无关联性(P>0.05)。结论综合分析临床资料与MRI信息有助于提高MSA各亚型诊断的准确性。

关 键 词:多系统萎缩  磁共振成像  诊断

Clinical features and MRI findings of multiple system atrophy
WANG Sheng-jun,CHI Zhao-fu,CHI Ling-yi,LIU Xue-wu..Clinical features and MRI findings of multiple system atrophy[J].Journal of Shandong University:Health Sciences,2009,47(2):85-87.
Authors:WANG Sheng-jun  CHI Zhao-fu  CHI Ling-yi  LIU Xue-wu
Institution:1.Department of Neurology;2.Department of Neurosurgery;Qilu Hospital of Shandong University;Jinan 250012;China
Abstract:Objective To explore the clinical features of multiple system atrophy(MSA) and the significance of magnetic resonance imaging(MRI) in diagnosis.Methods The clinical data of 32 cases were retrospectively analyzed.Results There were obvious cerebellar symptoms in MSA-c with pontine,middle cerebellar peduncles,cerebellar vermis atrophy,fourth ventricle dilatation and T2WI high intensity in the pontocerebellar and middle cerebellar peduncle regions in MRI,which were significantly in accord with the presences of...
Keywords:Multiple system atrophy  Magnetic resonance imaging  Diagnosis  
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