Head and Neck Imaging

Exploration of MRI and MSCT Diagnostic Value in Hepatic Encephalopathy

Author:LI Guang-jian1 , ZHAO LI1 , LIU Ye-song2 , et al.

affiliation:1 Department of hepatobiliary surgery, General Hospital of Hebei United University Affiliated Kailuan Hebei Tangshan 063000, China; 2 Department of Neurology, General Hospital of Hebei United University Affiliated Kailuan Hebei Tangshan 063000; 3 Depar

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Abstract

Objective To evaluate the diagnostic value of MRI and muti-slice CT in hepatic encephalopathy. Methods The MRI ang MSCT findings of 15 patients with hepatic encephalopathy were retrospectively analyzed. Results There were 3 cases of acute hepatic encephalopathy. Bilateral basal ganglia area globus pallids, midbrain and anteriorpituitary lobes were showed symmetrical high signal intensity on T1WI and normal appearances on T2WI and equal density on MSCT in 2 cases of acute hepatic encephalopathy. The other cases demonstrated diffuse brain edema on MRI and MSCT. There were 12 cases of chronic hepatic encephalopathy. 10 cases high signal intensity on T1WI were found in bilateral basal ganglia area globus pallid, 9 cases high signal intensity on T1WI were found in the midbrain and 4 cases high signal intensity on T1WI were found in the anterior pituitary lobes. They were normal appearances on T2WI. There were 8 cases of brain atrophy on MRI and MSCT. Conclusion MRI and MSCT has an important value to the diagnosis of hepatic encephalopathy.

【Keyword】Hepatic Encephalopathy; Magnetic Resonance Imaging; Tomography; X-ray Computerd

【Chart number】R445.3;R742

【Document Identification Number】A

【DOI】10.3969/j.issn.1672-5131.2015.10.006