脑脂肪栓塞综合征临床与神经影像学改变特点

目的探讨脑脂肪栓塞临床与神经影像学改变的关系.方法回顾性地分析了脑脂肪栓塞病人8例,就其临床特征、神经影像学改变进行了探讨.结果 8例患者均有不同程度的精神及神经系统受损的症状或体征,头颅CT检查在不同时期均未发现异常改变,4例患者头颅MRI可见长T1、T2改变.结论脑脂肪栓塞临床表现复杂多样,头颅MRI检查可能是较为敏感的检测手段.

The Characteristic of Clinical Manifest and Neuroadiological Changes in Cerebral Fat Embolism Syndrome

Objective To investigate the connection of early diagnosis with prognosis in cerebral fat embolism syndrome. Methods Eight cases of the posttraumatic cerebral fat embolism syndrome were analyzed regressively in three hospitals from 1994 to 2002, to investigate their changes of clinical characteristic and neuroadiology. Results All sample cases have the different severe degree of symptoms and signs of the nervous system,and skull CT at did not discover abnormal change at different time. Four cases were performed MRI scans. MRI found high-intensity T 1 and high-intensity T 2 signs. Conclusion The cerebral manifestations of cerebral fat embolism are highly variable and nonspecific. Brain MRI check may be more sensitive for the examination means.