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MRI增强扫描对脑内脱髓鞘假瘤的诊断价值
引用本文:方金洲,杨大为,姚晶晶,余小忠,李岳兴,王晓玲,杨正汉.MRI增强扫描对脑内脱髓鞘假瘤的诊断价值[J].中国神经免疫学和神经病学杂志,2012,19(3):225-227.
作者姓名:方金洲  杨大为  姚晶晶  余小忠  李岳兴  王晓玲  杨正汉
作者单位:1. 324004,浙江省衢化医院放射科
2. 北京医院放射科
3. 北京医院病理科
摘    要:目的探讨MRI增强扫描对大脑脱髓鞘假瘤(demyelination pseudotumor,DPT)的诊断价值。方法回顾性分析9例经病理或临床证实的大脑DPT患者MRI平扫及增强扫描的表现。结果病灶多发1例,单发8例。MRI平扫显示,病变在T1WI上呈低信号,T2WI上呈高信号,DWI上呈略低、等或略高信号;增强扫描2例病灶内可见斑片状强化,余7例均见垂直于侧脑室的线条状强化。结论 MRI增强扫描对于DPT的诊断具有重要价值。垂直于侧脑室的线条状强化是大脑DPT的典型MRI表现。

关 键 词:脱髓鞘疾病    磁共振成像

The value of enhanced MR imaging on the diagnosis of intracerebral demyelination pseudotumor
FANG Jin-zhou , YANG Da-wei , YAO Jing-jing , YU Xiao-zhong , LI Yue-xing , WANG Xiao-ling , YANG Zheng-han.The value of enhanced MR imaging on the diagnosis of intracerebral demyelination pseudotumor[J].Chinese Journal of Neuroimmunology and Neurology,2012,19(3):225-227.
Authors:FANG Jin-zhou  YANG Da-wei  YAO Jing-jing  YU Xiao-zhong  LI Yue-xing  WANG Xiao-ling  YANG Zheng-han
Institution:*.*Department of Radiology,Beijing Hospital,The Ministry of Health,Beijing 100730,China
Abstract:Objective To investigate the value of enhanced MRI on the diagnosis of intracerebral demyelination pseudotumor(DPT).Methods The plain and enhanced MR imaging were performed in 9 cases with DPT.All MR images were reviewed.Results Multiple lesions were found in 1 case,and solitary lesion was detected in the other 8 cases.The lesions showed hypointense on T1WI,and hyperintense on T2WI.On DWI,the lesions were mildly hypointense,isointense,or mildly hyperintense.Patchy enhancement was found in 2 cases,and linear enhancement perpendicular to lateral ventricles was found in the other 7 cases.Conclusions Enhanced MR imaging plays an important role in the diagnosis of DPT.Linear enhancement perpendicular to lateral ventricles is the typical MR finding of intracerebral DPT.
Keywords:demyelinating diseases  brain  magnetic resonance imaging
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