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Wallenberg综合征磁共振诊断及五例误诊原因分析
引用本文:赵玉军.Wallenberg综合征磁共振诊断及五例误诊原因分析[J].中国全科医学,2005,8(18):1526-1527.
作者姓名:赵玉军
作者单位:300450,天津市第五中心医院神经内科
摘    要:目的 探讨Wallenberg综合征的临床表现、影像学特点。方法 对11例Wallenberg综合征患者的临床表现、头部CT及MRI特点进行分析,总结5例误诊病例的误诊原因。结果 颅脑CT扫描检查未发现延髓病灶,11例MRI显示延髓长T1,长T2异常信号,临床表现复杂,多以头晕、眩晕或感觉障碍为首发症状。结论 临床特点、MRI是诊断Wallenberg综合征可靠的依据。

关 键 词:延髓外侧综合征  磁共振成像  感觉障碍
收稿时间:2005-06-20
修稿时间:2005年6月20日

An Analysis of Magnetic Resonance Diagnosis on Wallenberg Syndrome and the Cause of Misdiagnosis in 5 Cases
ZHAO Yu-jun.An Analysis of Magnetic Resonance Diagnosis on Wallenberg Syndrome and the Cause of Misdiagnosis in 5 Cases[J].Chinese General Practice,2005,8(18):1526-1527.
Authors:ZHAO Yu-jun
Abstract:Objective To explore the relationship between the clinical features and the imaging characteristics of Wallenberg(WS).Methods The Computed tomography (CT) and Magnetic resonance imaging(MRI) findings and the clinical features of 11 patients diagnosed the WS were analyzed.Results The clinical manifestations of WS are very complex.MRI showed abnormal picture of low-intensity in T_1WI and high-intensity in T_2WI lesion of the medulla.CT was insufficient in evaluation of medullary lesion.Conclusion The diagnosis of WS is mainly dependant on MRI and the clinical features.
Keywords:Wallenberg syndrome  Magnetic resonance imaging  Sensory dysfunction
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