儿童轻微脑炎/脑病伴可逆性胼胝体压部病变的MRI表现  

MRI findings of children with mild encephalitis/encephalopathy with reversible corpus callosum

作　　者：侯艳霞 马强[1] 彭冬红[1] Hou Yanxia;Ma Qiang;Peng Donghong(Department of Radiology,Zhuhai Maternal and Child Health Hospital,Zhuhai 519000,China)

机构地区：[1]广东省珠海市妇幼保健院放射科,519000

出　　处：《临床医学》2018年第11期5-7,共3页Clinical Medicine

摘　　要：目的探讨儿童轻微脑炎/脑病伴可逆性胼胝体压部病变(MERS)的MRI表现。方法随机选取2016年6月至2018年6月MERS患儿28例,男12例,女16例,年龄0. 7～12岁。回顾性分析28例MERS患儿的临床资料,患儿确诊前和治疗后均接受MRI检查,记录并分析28例MERS患儿MRI检查结果。结果 28例中Ⅰ型MERS患儿比例(85. 71%,24/28)高于Ⅱ型(14. 29%,4/28),差异有统计学意义(P <0. 05)。28例患儿经MRI检查均显示相应异常影像,经对症治疗后再次复查MRI,见颅内病灶消失。结论 MRI能清晰显示MERS患儿脑部病灶累及和延伸情况,临床据此可诊断病情,并给予相应治疗。Objective To investigate the MRI features of children with mild encephalitis/encephalopathy with reversible corpus callosum（ MERS）. Methods Twenty-eight children with MERS from June 2016 to June 2018 were randomly selected,among them there was 12 cases of males,16 cases of female, aged 0. 7 ～ 12 years old. The clinical data of 28 children with mild encephalitis/encephalopathy and reversible corpus callosum were analyzed retrospectively. The clinical data of 28 children with MERS were analyzed retrospectively. The MRI findings of 28 children with MERS were recorded and analyzed before and after the diagnosis. Results The proportion of children with type Ⅰmers（ 85. 71%,24/28） was higher than Type Ⅱ（ 14. 29%,4/28） in 28 cases,and the difference was significant（ P〈 0. 05）. Twenty-eight cases of children by MRI examination showed the corresponding abnormal image,after symptomatic treatment,re-review of MRI showing the loss of intracranial lesions.Conclusions MRI can clearly show the involvement and extension of brain lesions in MERS children,and the clinical diagnosis of the disease can be diagnosed and treated accordingly.

关 键 词：轻微脑炎/脑病伴可逆性胼胝体压部病变 磁共振 颅内病灶 

分 类 号：R445.2[医药卫生—影像医学与核医学] R742[医药卫生—诊断学]