| 磁共振T1加权三维选择性水激发成像在三叉神经痛诊断中的应用 |
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| 引用本文： | 杨烁慧,陆方,刘云,潘卫东,王辉,王国年,程瑞新,詹松华.磁共振T1加权三维选择性水激发成像在三叉神经痛诊断中的应用[J].中国临床神经科学,2011,19(4):368-372,381. |
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| 作者姓名： | 杨烁慧 陆方 刘云 潘卫东 王辉 王国年 程瑞新 詹松华 |
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| 作者单位： | 1. 上海中医药大学附属曙光医院,放射科,200021
2. 上海中医药大学附属曙光医院,神经内科,200021 |
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| 摘 要： | 目的：评价磁共振T1加权三维选择性水激发（MR T1W 3D-WATS）成像在颅内血管压迫性三叉神经痛诊断中的应用价值。方法：14例三叉神经痛患者和6名正常志愿者行MR T1W 3D-WATS扫描及多平面重组,观察三叉神经与邻近血管的关系。结果：MRI示14例三叉神经痛患者中,单侧三叉神经受压右侧2例、左侧6例;双侧均受压5例,其中1例为双侧疼痛,仅有右侧或左侧疼痛的单侧疼痛各2例;1例患者两侧三叉神经均未见明显受压,但临床有明显右侧三叉神经痛症状。志愿者中,有受压现象者左、右侧各1例。三叉神经受颅内血管压迫与临床表现有明显相关性（P=0.03,r=0.84）。责任血管分别为小脑上动脉13/19支,小脑前下动脉1/19支,基底动脉1/19支,起源不清血管4/19支。结论：MR T1W 3D-WATS成像能够清楚显示三叉神经与邻近血管的关系,为临床颅内血管压迫性三叉神经痛的诊断提供依据。
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| 关 键 词： | 三叉神经 三叉神经痛 颅内血管性压迫 选择性水激发成像 |
Diagnostic Value of Neurovascular Compression in Trigeminal Neuralgia with MR T1W 3D-WATS Sequence |
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| YANG Shuo-Hui,LU Fang,LIU Yun,PAN Wei-Dong,WANG Guo-Nian,WANG Hui,CHENG Rui-Xin,ZHAN Song-Hua.Diagnostic Value of Neurovascular Compression in Trigeminal Neuralgia with MR T1W 3D-WATS Sequence[J].Chinese Journal of Clinical Neurosciences,2011,19(4):368-372,381. |
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| Authors: | YANG Shuo-Hui LU Fang LIU Yun PAN Wei-Dong WANG Guo-Nian WANG Hui CHENG Rui-Xin ZHAN Song-Hua |
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| Institution: | YANG Shuo-Hui1,LU Fang1,LIU Yun2,PAN Wei-Dong2,WANG Guo-Nian1,WANG Hui1,CHENG Rui-Xin1,ZHAN Song-Hua1 1Department of Radiology,2Department of Neurology,the Affiliated Shuguang Hospital of Shanghai University of Traditional Chinese Medicine,Shanghai 200021,China |
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| Abstract: | Aim:To evaluate the diagnostic value of neurovascular compression in trigeminal neuralgia with T1W 3D water selective excitation(WATS) MR sequence.Methods:Fourteen patients clinically diagnosed as trigeminal neuralgia and six controls underwent MR scans with T1W 3D-WATS sequence.The fundament images of trigeminal nerve in brain and the multiplane reformation(MPR) images were used to investigate the relationship between the trigeminal nerve and the adjoined vessels.Results:Of all the patients,2 cases showed ... |
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| Keywords: | trigeminal nerve trigeminal neuralgia neurovascular compression water selective excitation imaging |
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