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单纯疱疹性脑炎的MRI诊断(附6例分析)
引用本文:许存森,谢水英. 单纯疱疹性脑炎的MRI诊断(附6例分析)[J]. 影像诊断与介入放射学, 1994, 0(4)
作者姓名:许存森  谢水英
作者单位:浙江医科大学附属第二医院放射科,浙江医科大学附属第二医院 MRI室 310009,310009
摘    要:笔者对6例临床确诊为单纯疱疹性脑炎病人进行了MRI检查,其中5例初次MRI检查有阳性所见。在MRI的T_1WI上病变为低信号区,T_2WI为高信号区,可侵犯四个脑叶,其中最常侵犯颞叶。脑岛、基底节及脑白质也可受累。4例出现轻度肿块效应。与CT比较,MRI在诊断单纯疱疹性脑炎方面优于CT,可显示CT未能发现的隐匿病灶。

关 键 词:单纯疱疹性脑炎  磁共振成像

MRI Diagnosis of Herpes Simplex Encephalitis (Analysis of 6 Cases)
Xu Cunsen,et al.. MRI Diagnosis of Herpes Simplex Encephalitis (Analysis of 6 Cases)[J]. Journal of Diagnostic Imaging & Interventional Radiology, 1994, 0(4)
Authors:Xu Cunsen  et al.
Affiliation:Xu Cunsen,et al. Department of Radiology,The Second Affiliated Hospital of Zhejiang Medical University,Hangzhou,310009
Abstract:6 patients with clinically diagnosed herpes simplex encephalitis (HSE) were examined by MRI. There were positive MRI findings in 5 patients. The findings of MRI of foci were low intensity on T1WI and high intensity on T2WI. Of the four cerebral lobes,temperal lobes were the most commonly affected regions . The insula,basal ganglion and white matter may also be involved. Mild mass effect was present in 4 cases. With comparison, MRI was superior in diagnosis of HSE to CT, and may show the occult foci undetected by CT.
Keywords:Herpes simplex encephalitis Magnetic resonance imaging
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