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渗透性髓鞘溶解症6例的临床表现和MRI特征
引用本文:骆焕洪,宋兴旺,由行,黄艺洪.渗透性髓鞘溶解症6例的临床表现和MRI特征[J].医疗保健器具,2011,18(5):681-682.
作者姓名:骆焕洪  宋兴旺  由行  黄艺洪
作者单位:1. 从化市中心医院神经内科,广东,广州,510900
2. 广州医学院第二附属医院神经内科,广东,广州,510260
摘    要:目的探讨渗透性髓鞘溶解症的临床表现及MRI特点。方法分析6例渗透性髓鞘溶解症患者的临床表现和头颅MRI特征。结果 6例患者均有各种原因导致的低钠血症后被快速纠正的病史,患者临床表现主要为意识改变,闭锁综合征,球麻痹,痉挛性瘫痪等。MRI表现为脑桥和/或基底节区对称性的T1加权低信号,T2加权高信号病灶。结论头部MRI是诊断渗透性髓鞘溶解症的重要手段,提高对本病的认识以及缓慢纠正严重的低钠血症对于本病的防治至关重要。

关 键 词:渗透性脱髓鞘  脑桥中央髓鞘溶解症  脑桥外髓鞘溶解症  磁共振成像

Clinical Manifestations and MRI Features of Osmotic Myelinolysis of 6 Cases
LUO Huanhong,SONG Xingwang,YOU Xing,HUANG Yihong.Clinical Manifestations and MRI Features of Osmotic Myelinolysis of 6 Cases[J].Medicine Healthcare Apparatus,2011,18(5):681-682.
Authors:LUO Huanhong  SONG Xingwang  YOU Xing  HUANG Yihong
Institution:LUO Huanhong 1,SONG Xingwang 2,YOU Xing 1,HUANG Yihong 1(1Department of Neurology,Conghua Central Hospital,Guangzhou 510900,China,2Department of Neurology,the Second Affiliated Hospital and Institute of Neuroscience of Guangzhou Medical College,Guangzhou 510260,China)
Abstract:Objective To investigate the clinical manifestations and MRI features of osmotic myelinolysis.Methods The clinical features and MRI of 6 patients with osmotic myelinolysis were analyzed.Results All the six patients had the history of rapidity of correcting hyponatraemia which was induced by kinds of reasons.The common clinical manifestations included change of consciousness,locked-in syndrome,bulboparalysis,spastic paralysis,etc.MRI of the brain revealed osmotic myelinolysis with low T1-signal intensity and...
Keywords:Osmotic myelinolysis  Central pontine myelinolysis  Extrapontine myelinolysis  MRI  
本文献已被 CNKI 维普 万方数据 等数据库收录!
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