海洛因海绵状白质脑病MRI诊断特征  

作　　者：欧阳可勋[1,2] 董英超[1,2] 黄洲[1,2] 李庆峰[3] 

机构地区：[1]广东医学院附属医院 [2]三水区人民医院,528100 [3]广东省南丰劳动教养管理所医院,528135

出　　处：《当代医学》2010年第36期1-2,共2页Contemporary Medicine

基　　金：佛山市科技局立项课题(200808160)

摘　　要：目的探讨海洛因海绵状白质脑病(HSLE)的临床病理表现和磁共振诊断特征。方法回顾性分析20例吸服海洛因致海洛因海绵状白质脑病患者的临床资料及MRI图像特征。结果 20例患者均有吸服或合并静脉注射海洛因病史,并出现不同程度的神经系统症状。MRI检查提示病变均累计大脑半球白质,双侧呈对称性分布的长T1、长T2异常信号,小脑有不同程度的受累。结论海洛因海绵状白质脑病影像学有特征性改变,MRI检查对海洛因海绵状白质脑病的诊断有重要价值,可以指导临床治疗。Objective To explore HSLE Clinical pathology and MRI diagnostic features.Methods Retrospective analysis of 20 patients in our hospital caused by the abuse of heroin spongiform leukoencephalopathy heroin clinical data and MRI image features.Results 20 patients smoked or had a history of intravenous injection of heroin,and there are different levels of nervous system lesions.MRI examinations showed lesions of cerebral hemisphere white matter were accumulated,and bilateral symmetry of the distribution was a long T1,long T2 signal lesions,the cerebellum have different degrees of involvement.Conclusion HSLE with characteristic radiographic changes,MRI examination of HSLE has important diagnostic value,can guide clinical treatment.

关 键 词：海洛因 海绵样变 白质脑病 磁共振成像 

分 类 号：R742[医药卫生—神经病学与精神病学]