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Wernicke脑病的临床和影像学分析
引用本文:邵玉凤,韩漫夫,陈婷,夏军.Wernicke脑病的临床和影像学分析[J].疑难病杂志,2011,10(7):490-491.
作者姓名:邵玉凤  韩漫夫  陈婷  夏军
作者单位:1. 广东省深圳市第二人民医院神经内科,518035
2. 广东省深圳市第二人民医院放射科,518035
摘    要:目的分析Wernicke脑病的临床和影像学特点。方法对15例Wernicke脑病的临床表现、MR特点进行回顾性分析。结果 Wernicke脑病的临床症状多样化,其中表现为精神症状12例(80.0%),视力障碍或眼外肌麻痹8例(53.3%),共济失调9例(60.0%)。头颅MR检查,13例(86.7%)出现第三、四脑室及中脑导水管周围、乳头体T1加权低信号,T2加权FLAIR相高信号;治疗后复查明显好转。结论 Wernicke脑病的临床表现无特异性,有发生精神症状、视力障碍或眼球活动异常、共济失调的患者应想到Wernicke脑病的可能性。MR检查可以明确诊断。

关 键 词:Wernicke脑病  临床表现  磁共振成像

Clinical and imaging characteristics of Wernicke encephalopathy
SHAO Yu-feng,HAN Man-fu,CHEN Ting,et al..Clinical and imaging characteristics of Wernicke encephalopathy[J].Journal of Difficult and Complicated Cases,2011,10(7):490-491.
Authors:SHAO Yu-feng  HAN Man-fu  CHEN Ting  
Institution:SHAO Yu-feng,HAN Man-fu,CHEN Ting,et al.Department of Neurology,Shenzhen Second People's Hospital,Guangdong Province,Shenzhen 518035,China
Abstract:Objective To investigate the clinical and imaging characteristics of Wernicke encephalopathy.Methods To analyze the clinical and MRI characteristics of 15 cases with Wernicke encephalopathy and the causes of misdiagnosis in localization diagnosis.Results The clinical characteristics of Wernicke encephalopathy was variety,included psychiatric symptom(80.0%);visual disorder or ophthalmoplegia externa(53.3%);ataxia(60.0%).In cranial MR,13 cases(86. 7%) was found low signals on T1weight(T1W) and FLAIR high sign...
Keywords:Wernicke encephalopathy  Clinical characteristics  Magnetic resonance imaging  
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