影像学表现为双侧丘脑病变的临床病例分析  

Clinical analysis of bilateral thalamic lesions on imaging

作　　者：郝悦含[1] 伍博晰[2] 何志义[1] HAO Yuehan;WU Boxi;HE Zhiyi(Department of Neurology,the First Affiliated Hospital of China Medical University,Shenyang 110000,China)

机构地区：[1]中国医科大学附属第一医院,辽宁沈阳110001 [2]沈阳市第四人民医院,辽宁沈阳110082

出　　处：《中风与神经疾病杂志》2021年第7期596-601,共6页Journal of Apoplexy and Nervous Diseases

摘　　要：目的探讨影像学表现为双侧丘脑病变患者的临床特点、影像学表现、诊断及治疗,以提高对影像学表现为双侧丘脑病变相关疾病的认识。方法收集2015年6月至2019年12月就诊于我院的影像学表现为双侧丘脑病变的6例患者的临床资料,分析相关疾病的特点。结果6例患者影像学均出现双侧丘脑病变,但临床诊断各异。例1为基底动脉尖综合征,例2为双侧丘脑梗死(percheron动脉闭塞),例3为大脑深静脉血栓形成,例4为急性播散性脑脊髓炎,例5为Wernicke脑病,例6为肝豆状核变性。结论影像学表现为双侧丘脑病变的病因很多,根据患者的临床特点、影像学表现,同时结合患者其他的辅助检查等进行鉴别,以避免误诊的发生。Objective To investigate the clinical characteristics,imaging manifestations,diagnosis and treatment of patients with bilateral thalamic lesions,so as to improve the understanding of diseases with bilateral thalamic lesions.Methods The clinical datas of 6 patients with bilateral thalamic lesions in our hospital from June 2015 to December 2019 were collected,and the characteristics of each patient were analyzed.Results All 6 patients were with bilateral thalamic lesions,but the diagnosis was different.Case 1 was top of the basilar syndrome,case 2 was bilateral thalamic infarction(perceron artery occlusion),case 3 was deep cerebral venous thrombosis,case 4 was acute disseminated encephalomyelitis,case 5 was Wernicke encephalopathy,and case 6 was Wilson’s disease.Conclusion There are many causes of imaging with bilateral thalamic lesions,according to the patient’s clinical characteristics,imaging manifestations,combined with other auxiliary examinations of patients to identify,in order to avoid misdiagnosis.

关 键 词：双侧丘脑病变 脑血管病 脱髓鞘 代谢性脑病 

分 类 号：R743[医药卫生—神经病学与精神病学]