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Creutzfeldt-Jakob病的临床诊断(附2例报道)
引用本文:许力,陈齐鸣,韦道祥,刘晓林,吴守伟,胡明洁. Creutzfeldt-Jakob病的临床诊断(附2例报道)[J]. 蚌埠医学院学报, 2008, 33(2): 155-157
作者姓名:许力  陈齐鸣  韦道祥  刘晓林  吴守伟  胡明洁
作者单位:1. 蚌埠医学院第一附属医院神经内科, 安徽蚌埠 233004;2. 蚌埠医学院遗传学教研室, 安徽蚌埠 233030
摘    要:目的:探讨Creutzfeldt-Jakob病(Creutzfeldt-Jakob disease,CJD)临床早期诊断方法。方法:对2例CJD病患者的临床表现、影像学特点、脑电图改变等资料进行回顾性分析和总结。结果:2例均符合国人CJD临床特点。弥散加权成像(DWI)能检测出特征性病灶,较目前WHO的CJD诊断方法更具敏感性。结论:提高临床医师对本病临床特征性的认识,可以尽早作出正确诊断,减少医源性传播;作为无创性检查的DWI在CJD诊断方法中最具敏感性,临床诊断标准中应考虑DWI检查的列入。

关 键 词:Creutzfeldt-Jakob病   磁共振成像   诊断  鉴别
文章编号:1000-2200(2008)02-0155-03
收稿时间:2007-07-24
修稿时间:2007-07-24

Clinic diagnosis of Creutzfeldt-Jakob disease:Report of 2 cases
XU Li,CHEN Qi-ming,WEI Dao-xiang,LIU Xiao-lin,WU Shou-wei,HU Ming-jie. Clinic diagnosis of Creutzfeldt-Jakob disease:Report of 2 cases[J]. Journal of Bengbu Medical College, 2008, 33(2): 155-157
Authors:XU Li  CHEN Qi-ming  WEI Dao-xiang  LIU Xiao-lin  WU Shou-wei  HU Ming-jie
Affiliation:1. Department of Neurology, The First Affiliated Hospital of Bengbu Medical College, Bengbu Anhui 233004;2. Department of Genetics, Bengbu Medical College, Bengbu Anhui 233030, China
Abstract:Objective:To investigate the early clinical diagnosis of Creutzfeldt-Jakob disease(CJD).Methods:The clinical manifestation,electroencephalogram(EEG)and imaging data of two cases of CJD were analyzed retrospectively.Results:There were special clinical characteristics of CJD in Chinese.The characteristic lesions were detected by diffusion-weighted imaging(DWI)in both of the two cases.DWI was more sensitive than the current clinical diagnosis method suggested by WHO.Conclusions:Recognition of the clinical char...
Keywords:Creutzfeldt-Jakob disease  magnetic resonance  diagnosis  differential  
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