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论著-头颈部

视神经脊髓炎患者脑部损害MRI特征及临床表现

作者:赵 文 钱伟军

所属单位:河南省开封市中心医院影像科(河南 开封 475000)

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摘要

目的探究视神经脊髓炎患者脑 部MRI特点表现。方法 选取我院于2014 年10月-2016年10月收治的35例视神经脊 髓炎脑损害患者的临床资料资料作为研 究对象,分析视神经脊髓炎脑部MRI像学 特点表现。结果 35例患者中头颅MRI检 查中出现异常信号者21例,病灶主要位 于侧脑室、大脑白质、胼胝体、中脑导 水管、延髓、桥脑等处,根据病灶形态 可分为不规则、融合型及多发硬化型, 常见散在不规则斑片状病灶。结论 多 数视神经脊髓炎患者会伴发脑部损害症 状,病灶部位与患者临床表现具有直接 关系。

Objective To investigate the neuroimaging features for NMO (neuromyelitis optica) patients complicated with cerebral injury. Methods The clinical data of 30 NMO patients complicated with cerebral injury treated from December 2015 to December 2016 in our hospital was reviewed. The neuroimaging features for NMO patients complicated with cerebral injury were analyzed. Results A total of 16 cases had the abnormal signals of which these lesions were majorly located in the paracele, white matter, corpus callosum, aqueduct of midbrain, medulla oblongata, pons, etc. These morphologic forms included the fused type, irregular type and multiple sclerosis type. The irregular lesions were commonly seen. Conclusion The majority of NMO patients have the clinical symptoms of cerebral injury. The injured positions are directly correlated with the patients' clinical manifestations.

【关键词】视神经脊髓炎;脑损害;磁共振成像

【中图分类号】R74;R97

【文献标识码】A

【DOI】10.3969/j.issn.1672-5131.2018.10.009

前言

目前对于视神经脊髓炎患者伴发脑内病灶的影像学表现特点仍在 研究调查阶段,尚未有明确的调查结果。因此,本次研究选取2014年 10月至2016年10月我院收治的视神经脊髓炎伴发脑损害患者35例的MR 检查资料进行分析研究。