复方甲苯咪唑致急、亚急性脱髓鞘性脑炎的MRI表现(附28例分析)  

MRI APPEARANCE IN ACUTE AND SUBACUTE DEMYELINATING ENCEPHALITIS INDUCED BY COMPOUND MEBENDAZOLE (28 CASES ANALYSIS)

作　　者：曾光华[1] 郑书东[2] 刘仲初[2] 

机构地区：[1]内江市第二人民医院MRI室,四川内江641103 [2]内江市第二人民医院神经内科,四川内江641103

出　　处：《泸州医学院学报》2004年第6期511-514,共4页Journal of Luzhou Medical College

摘　　要：目的 :探讨复方甲苯咪唑致急、亚急性脱髓鞘性脑炎的MRI的表现特点。方法 :采用头颅MRI常规SE序列轴位、冠状位、矢状位T1 WI、T2 WI、并分析 2 8例该病的MRI表现和临床相关资料。结果 :MRI检查发现大脑半球多叶白质区多发的小点状、小片状、圆形、类圆形、椭圆形、长条状、不规则形等长T1 和长T2 信号病灶 ,边界不清 ,大小不等 ,散在分布。结论 :服用复方甲苯咪唑片后 ,如出现大脑半球多叶白质区多发长T1 和长T2 信号病灶 ,年龄小 ,又有上感史时 ,要想到有复方甲苯咪唑致急性、亚急性脱髓鞘性脑炎之可能 ,应该引起广大医务工作者的重视。Objective: To probe into the characteristics of MRI appearance in acute and subacute demyelinating encephalitis caused by compound mebendazole. Methods: To use horizontal sections, frontal sections, sagittal sections T 1WI、T 2WI of head MRI normal SE sequence and to analyse the related material of the clinical and MRI appearance in the 28 cases. Results: MRI discovered long T 1 and long T 2 signal spots of many small drops, small slices, circles and similar to circles, oval-shapes, long narrow piece, irregular shape etc. in the brain white matter of the cerebrum hemisphere. Conclusion: If the patient had taken compound Mebendazole, when long T 1 and long T 2 signal spots appeared in the brain white matter of the cerebrum hemisphere, and his age is young and he has had common cold, It is necessary to think that he might suffer from acute and subacute demyelinating encephalitis induced by compound mebendazole, which should arouse the attention of all medical workers.

关 键 词：复方甲苯咪唑 脱髓鞘性病变 急、亚急性 磁共振成像 

分 类 号：R512.3[医药卫生—内科学]