Head and Neck Imaging

MRI Diagnosis and Differential Diagnosis of Bilirubin Encephalopathy

Author:WANG Lei, XUE Sheng-qi, ZHAO Su-ya, et al

affiliation:Department of Images, the Sanmenxia Center Hospital of Henan, Sanmenxia 472000, Henan Province, China

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Abstract

Objective To explore the bilirubin encephalopathy of magnetic resonance imaging (MRI) diagnosis and differential diagnosis. Methods Retrospective analysis of 20 cases of acute bilirubin encephalopathy and 4 cases of chronic bilirubin encephalopathy head MRI images, clinical data. Results 20 cases of acute bilirubin encephalopathy,18 cases bilateral pallidum show symmetry high signal in TIWI, equisignal in T2WI, T2flair and DWI not seen abnormal signal, and rest 2 cases did not see abnormal signal. 14 cases of children in the prognosis of follow-up, have not found sequela. 4 cases of chronic bilirubin encephalopathy, show symmetry high signal in T2WI, equisignal in T1WI, highpriced signal in T2flair, DWI not seen abnormal signal, 3 cases of children in the prognosis of follow-up, 2 cases have found sequela. Conclusion Acute bilirubin encephalopathy is characterized by symmetry high signal in TIWI, timely treatment, good prognosis and chronic bilirubin encephalopathy is characterized symmetry high signal in T2WI, prognosis is poorer.

【Keyword】Bilirubin Encephalopathy; Magnetic Resonance Imaging; Cerebral Palsy

【Chart number】R742

【Document Identification Number】A

【DOI】10.3969/j.issn.1009-3257.2018.05.004