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脑内弥漫性病变的CT诊断
引用本文:张赞民,陈润德.脑内弥漫性病变的CT诊断[J].临床放射学杂志,1997,16(2):79-81.
作者姓名:张赞民  陈润德
作者单位:中国一冶医院CT室
摘    要:目的显示不同脑内疾病可表现为相似的脑内弥漫性CT改变,材料与方法:对15例患者脑CT平扫与增强扫描,其中包括4种病变,脑囊虫病,脑转移瘤和脑胶质细胞增生,结果:CT主要改变为脑水肿,脑内弥漫型小强化结节,小囊状低密度灶及阻塞性脑积水,结论:脑内弥漫性系变由多种疾病所致,有时缺乏特征性,为达到正确诊断,重要的是应紧密结合病史,实验室检查及其他影像检查所见进行判断。

关 键 词:弥漫性  脑内病变  CT  诊断  脑水肿  脑囊虫病

CT in the Diagnosis of Diffuse Intracerebral Disease
Zhang Zanmin,Chen Runde,Du Jiahuan.CT in the Diagnosis of Diffuse Intracerebral Disease[J].Journal of Clinical Radiology,1997,16(2):79-81.
Authors:Zhang Zanmin  Chen Runde  Du Jiahuan
Institution:Zhang Zanmin,Chen Runde,Du Jiahuan. Division of CT,Department of Radiology,Yiye Hospiptal,Wuhan 430081
Abstract:Objective: To demonstrate that different intracerebral diseases in CT scan might exhibits similar pattern of diffuse intracerebral lesion.Materials and Methods Nonenhanced and contrast enhanced cerebral CT scan were performed in 15 patients. Among them, 4 different diseases were observed, in cluding cerebral cysticercosis, cerebral tuberculosis, metastatic tumor and cerebral gliosis.Results: The chief CT manifestations were cerebral edema, diffuse intracerebral contrast enhanced small nodules, low density cysticfoci and obstructive hydrocephalus.Conclusion: The cause of diffuse intracerebral lesion were multiple, sometimes the CT findings were non specific. In order to approach a proper diagnosis, it is essential to correlate the CT findings with clinical history, laboratory findings and the results of other imaging examination.
Keywords:Diffus  intracerebral disease  CT scan
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