首诊为听力下降的成人颅内病变的临床及MRI特征分析  

Clinical and MRI Characteristics Analysis of Intracranial Lesions in Adults with Hearing Loss

作　　者：刘蓓[1] 丁长青[2] 宋峰 孙惠芳[2] LIU Bei;DING Chang-qing;SONG Feng;SUN Hui-fang(Department of ENT,People's Hospital of Fengxian,Fengxian,Jiangsu Province,221700 China;Department of Imaging,People's Hospital of Fengxian,Fengxian,Jiangsu Province,221700 China)

机构地区：[1]江苏省丰县人民医院耳鼻喉科,江苏丰县221700 [2]江苏省丰县人民医院影像科,江苏丰县221700

出　　处：《中外医疗》2020年第4期195-198,共4页China & Foreign Medical Treatment

基　　金：2014年江苏省卫生厅医学科研立项课题(YG201419)。

摘　　要：目的分析首诊为听力下降的成人颅内病变的临床及MRI特征。方法回顾性分析该院2014年9月-2018年12月该院以听力下降为首诊原因的55例成人颅内病变的临床和影像学资料。所有患者均行颅脑轴位T1WI、T2WI、FLAIR、DWI及矢状位T2WI扫描,28例行MRA、4例行MRV检查,10例行MRI增强扫描。结果该组临床确诊为急性脑梗死31例,侧窦血栓伴静脉性梗死1例,16例为听神经瘤,颅内感染4例,脑白质病2例,胶质瘤放疗后1例。MRI可明确提示病变,MRA均见脑动脉硬化症(该组伴基底动脉狭窄18例),1例MRV可见侧窦栓塞伴静脉性梗死。结论以听力下降的成人颅脑病变多样,头颅MRI检查多可提示诊断,可避免漏误诊,值得应用。Objective To analyze the clinical and MRI features of adult intracranial lesions with hearing loss.Methods The clinical and images data of 55 adult patients with intracranial lesions in the hospital from September 2014 to December2018 were retrospectively analyzed.All patients underwent axial T1 WI,T2 WI,FLAIR,DWI and sagittal T2 WI scans,28 patients underwent MRA scans,4 cases underwent MRV and 10 cases underwent enhanced MRI scans.Results 31 cases were clinically diagnosed as acute cerebral infarction,1 case was glioma after radiotherapy and 1 case was lateral sinus thrombosis with venous infarction,16 cases were acoustic neuroma,4 cases were intracranial infection,2 cases were leukoencephalopathy.MRA showed cerebral arteriosclerosis in all the MRA scans(18 cases were with basilar artery stenosis)and one case showed lateral sinus thrombosis with venous infarction in MRV.Conclusion Brain lesions in adults with hearing loss are various,and cranial MRI examination can indicate the diagnosis and can reduce false and missed diagnosis,which is worthy of application.

关 键 词：听力下降 颅内病变 多排螺旋CT 磁共振成像 诊断 

分 类 号：R816[医药卫生—放射医学]