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21.
目的通过对神经白塞病(Neuro-Behcet's disease NBD)磁共振(magnetic resonance image,MRI)的影像学表现分析,以提高对神经白塞病MRI诊断的认识。方法回顾性分析经临床证实的6例神经白塞病MRI表现,评估病灶的分布及形态学特点,分析总结不同序列MRI的信号特征。结果 6例患者均为实质型中枢神经系统损害,其中单纯脑干损害1例,混合型损害5例。6例脑干损害表现为长条形或不规则形,包括中脑大脑脚、桥脑、和延髓病变;5例为类圆形基底节区损害;2例颈髓损害为长条形。6例行头颅MRI检查,均显示颅内散在T2WI稍高信号,T1WI等或低信号影,FLAIR呈高信号,DWI(b值为1000s/mm2)显示为稍高信号,ADC图信号轻度升高且ADC值病灶处较对侧增高。3例行增强扫描均出现环形强化。2例颈髓MRI分别显示颈4、5水平颈髓长条形T2稍高信号影。1例行磁共振波谱(Magnetic resonance spectroscopy,MRS)检查显示病灶处各代谢产物的峰值均正常。结论 MRI检查对于神经白塞病的诊断非常敏感,且不同序列均具有其特征性的改变。 相似文献
22.
Imaging findings in diffuse axonal injury after closed head trauma 总被引:12,自引:0,他引:12
P. M. Parizel Ö. Özsarlak J. W. Van Goethem L. van den Hauwe C. Dillen J. Verlooy P. Cosyns A. M. De Schepper 《European radiology》1998,8(6):960-965
Even in patients with closed head trauma, brain parenchyma can be severely injured due to disruption of axonal fibers by
shearing forces during acceleration, deceleration, and rotation of the head. In this article we review the spectrum of imaging
findings in patients with diffuse axonal injuries (DAI) after closed head trauma. Knowledge of the location and imaging characteristics
of DAI is important to radiologists for detection and diagnosis. Common locations of DAI include: cerebral hemispheric gray-white
matter interface and subcortical white matter, body and splenium of corpus callosum, basal ganglia, dorsolateral aspect of
brainstem, and cerebellum. In the acute phase, CT may show punctate hemorrhages. The true extent of brain involvement is better
appreciated with MR imaging, because both hemorrhagic and non-hemorrhagic lesions (gliotic scars) can be detected. The MR
appearance of DAI lesions depends on several factors, including age of injury, presence of hemorrhage or blood-breakdown products
(e. g., hemosiderin), and type of sequence used. Technical aspects in MR imaging of these patients are discussed. Non-hemorrhagic
lesions can be detected with fluid attenuated inversion recovery (FLAIR), proton-density-, or T2-weighted images, whereas
gradient echo sequences with long TE increase the visibility of old hemorrhagic lesions.
Received 17 September 1997; Revision received 2 December 1997; Accepted 15 December 1997 相似文献
23.
To examine the chronological changes characteristic of cortical laminar necrosis caused by brain infarction, 16 patients
were repeatedly examined using T1-, T2-weighted spin-echo, T2*-weighted gradient echo, fluid attenuated inversion recovery (FLAIR) images, and contrast enhanced T1-weighted images at 1.0
or 1.5 T. High intensity cortical lesions were visible on the T1-weighted images from 2 weeks after ictus and became prominent
at 1 to 3 months, then became less apparent, but occasionally remained at high intensity for 2 years. High intensity cortical
lesions on FLAIR images became prominent from 1 month, and then became less prominent from 1 year, but occasionally remained
at high intensity for 2 years. Subcortical lesions did not display high intensity on T1-weighted images at any stage. On FLAIR
images, subcortical lesions initially showed slightly high intensity and then low intensity from 6 months due to encephalomalacia.
Cortical lesions showed prominent contrast enhancement from 2 weeks to 3 months, but subcortical lesions were prominent from
2 weeks only up to 1 month. T2*-weighted images disclosed haemosiderin in 3 of 7 patients, but there was no correlation with
cortical short T1 lesions. Cortical laminar necrosis showed characteristic chronological signal changes on T1-weighted images
and FLAIR images. Cortical short T1 lesions were found not to be caused by haemorrhagic infarction.
Received: 27 March 1998 Accepted: 23 July 1998 相似文献
24.
王玲璞 《中国中西医结合影像学杂志》2007,5(3):174-177
目的:探讨磁共振扩散加权成像(DWI)、FLAIR序列和磁共振血管成像(MRA)对急性缺血性脑中风的诊断价值。方法:选择97例急性脑中风患者,其中超急性期23例,急性期74例。全部患者均行脑MRI常规T1WI、T2WI序列、FLAIR序列、DWI和3D TOF MRA检查。结果:97例超急性及急性期脑中风的DWI阳性检出率为100%,FLAIR序列和3D TOFMRA的阳性检出率分别为75.3%和52.6%,常规T1WI、T2WI序列的阳性检出率分别为20.6%和34.0%。结论:对于早期脑梗死病灶,DWI比FLAIR序列敏感性高,更易于发现病灶,FLAIR序列对于脑白质变性以及脑室、脑池、脑沟周围病变观察满意,MRA在分析脑中风病因方面可提供更多的影像学信息,DWI、FLAIR序列和MRA是对常规序列的重要补充,值得临床推广应用。 相似文献
25.
Lianxiang XiaoXiangtao Lin Jinfeng CaoXueyu Wang Lebin Wu 《European journal of radiology》2011,79(3):432-436
Purpose
Compound diphenoxylate (diphenoxylate-atropine) poisoning can cause toxic encephalopathy in children, and magnetic resonance imaging (MRI) of the brain in this condition has not been reported. This study is to analyze brain MRI findings and to investigate the relations between MRI features and possible pathophysiological changes in children.Methods
Six children accidentally swallowed compound diphenoxylate, 4 males, 2 females, aged 20-46 months, average 33 months. Quantity of ingested diphenoxylate-atropine was from 6 to 30 tablets, each tablet contains diphenoxylate 2.5 mg and atropine 0.025 mg. These patients were referred to our hospital within 24 h after diphenoxylate-atropine ingestion, and underwent brain MRI scan within 24-72 h after emergency treatment. The characteristics of conventional MRI were analyzed.Results
These pediatric patients had various symptoms of opioid intoxication and atropine toxicity. Brain MRI showed abnormal low signal intensity on T1-weighted images (T1WI) and abnormal high signal intensity on T2-weighted images (T2WI) and fluid-attenuated inversion recovery (FLAIR) imaging in bilateral in all cases; abnormal high signal intensity on T1WI, T2WI and FLAIR in 4 cases. Encephalomalacia was observed in 3 cases during follow-up.Conclusion
In the early stage of compound diphenoxylate poisoning in children, multiple extensive edema-necrosis and hemorrhagic-necrosis focus were observed in basic nucleus, pallium and cerebellum, these resulted in the corresponding brain dysfunction with encephalomalacia. MRI scan in the early stage in this condition may provide evidences of brain impairment, and is beneficial for the early diagnosis, treatment and prognosis assessment. 相似文献26.
FLAIR序列与TSE序列在颅脑病变中的应用 总被引:5,自引:0,他引:5
目的:通过头颅快速液体衰减翻转恢复序列与快速自旋回波序列应用研究,了解其各自的特点及临床价值。材料与方法:65例颅内病变均用两种序列检查。快速FLAIR设置以脑脊液信号低于脑组织为准,即TR/TI/TE:9000/2500/110ms。快速SE:T1W:650/14ms,T2W:5217/110ms。结果:快速FLAIR检出病变1306个,敏感率98%,快速SE检出1164个,敏感率88%(P〈0 相似文献
27.
Ashok Modha Michael Vassilyadi Daniel Keene Carmencita Jimenez Jean Michaud Mary Ann Matzinger E. C. G. Ventureyra 《Child's nervous system》2000,16(5):269-277
Focal cortical dysplasia (FCD), a form of neuronal migration disorder, is a malformative lesion of the neocortex that occurs
during development of the brain. It can cause partial and generalized epilepsy. Seizures occur at an early age and are often
resistant to medication. Surgical resection has been found to be beneficial in these patients. Dual pathology, in the form
of mesial temporal sclerosis, has been associated with FCD. At the Children’s Hospital of Eastern Ontario, four patients with
temporal lobe FCD have re-cently, been identified. This paper discusses how these children presented and how they were managed,
with particular emphasis on their MRI findings and differential diagnoses. In three of the four patients neuroimaging studies
showed lesions consistent with a neoplastic process because of the large volume and mass effect. Radiologically, FCD may mimic
the MRI appearance of tumors, such as dysembryoplastic neuroepithelial tumors, primitive neuroectodermal tumors, gangliogliomas,
oligodendrogliomas, and astrocytomas. These lesions are best visualized on fluid-attenuated inversion recovery (FLAIR) imaging,
a technique that has recently become applicable in the clinical setting, as we help demonstrate in this series. With better
MRI capability, milder forms of FCD and microdysplasia may be distinguished.
Received: 7 September 1999 相似文献
28.
29.
Savith Kumar Chinmay P. Nagesh Bejoy Thomas Ashalatha Radhakrishnan Ramshekhar N. Menon Chandrasekharan Kesavadas 《Journal of neuroradiology. Journal de neuroradiologie》2018,45(1):6-14
Background and purpose
The study evaluated the utility of arterial spin labeling (ASL) perfusion imaging in Rasmussen's encephalitis (RE).Material and methods
The hospital electronic database was searched using the search words “encephalitis,” “autoimmune encephalitis” and “Rasmussen's encephalitis” for the period of 1 Jan 2015 to 31 Jan 2017. Clinically diagnosed cases of RE for which epilepsy protocol magnetic resonance imaging (MRI) with perfusion imaging (ASL) performed on a 3T scanner were retrieved. The diagnosis of RE was based on Bien's criteria (Bien et al., 2005). We obtained patient's demographic details, clinical features, electrophysiological studies, and follow-up data from electronic hospital records.Results
We included nine patients with RE of whom seven patients showed increased perfusion, and two patients decreased perfusion. Among these patients, MRI changes of gyral hyperintensity without volume loss corresponded to regional ASL hyperperfusion in six patients and ASL hypoperfusion in one patient. Two patients who showed ASL hypoperfusion had corresponding atrophy on MRI. Eight patients of RE had epilepsia partialis continua (EPC) or daily seizures, and one patient was seizure-free post-surgery. Five patients showed a concordance of ASL hyperperfusion with clinical ictal onset zone. Among the seven patients with ASL hyperperfusion, the finding was concordant (complete or partial) with the electroencephalogram (EEG) ictal onset zone in six patients and with interictal epileptiform discharges (IED) in seven patients.Conclusion
Increased perfusion in ASL of the involved brain parenchyma in RE is a common MRI finding and may be due to either active inflammation of the brain involved or a seizure-related finding. 相似文献30.