视神经脊髓炎患者脑部损害MRI特征及临床表现  

Clinical Research on the Neuroimaging Features for Neuromyelitis Optica Patients Complicated with Cerebral Injury

作　　者：赵文 钱伟军 ZHAO Wen;QIAN Wei-jun(Department of Imaging,Kaifeng City Central Hospital,Kaifeng 475000,Henan Province,China)

机构地区：[1]河南省开封市中心医院影像科,河南开封475000

出　　处：《中国CT和MRI杂志》2018年第10期25-27,共3页Chinese Journal of CT and MRI

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 

分 类 号：R74[医药卫生—神经病学与精神病学] R97[医药卫生—临床医学]