一氧化碳中毒迟发性脑病的MRI表现_王之平.pdfVIP

242 2007 3 22 3 Radiol Practice, Mar 2007, Vol 22, No. 3 # # M RI 王之平, 叶建华, 金洪先 : 研究一氧化碳( CO) 中毒迟发性脑病的MRI 特征: 回顾性分析32 例CO 中毒迟发性脑病患 的MRI 和临床资料: CO 中毒迟发性脑病MRI 表现可分为三型: 神经核团受累型; 脑白质受累型; 皮层受累 型MRI 特征: 苍白球为对称性的卵圆形长T 长T 信号, 皮层下白质为对称性的弥漫模糊云雾状长 T 长T 信号, 1 2 1 2 侧脑室周围半卵圆中心白质亦为对称云絮状长T 长 T 信号, 胼胝体常受累MRI 显示苍白球合并脑白质受累 及皮 1 2 层受累 , 临床表现较重: CO 中毒迟发性脑病MRI 表现有 一定特征性, 且能反应其病理过程, 并对CO 中毒迟发性 脑病的诊断和评价临床表现预后均有意义 一氧化碳中毒; 迟发性脑病; 磁共振成像 R445. 2 A 1000-0313(2007) 03-0242-03 MRI Manifestations of DelayedEncephalopathyafter CarbonMonoxide Poisoning WANG Zh-i pi g, YE Jia-hua,JIN H o g- xia . Departme t of CT a d MRI, We li g First Peoplecs H ospital, Zheji g 317500, P. R. Chi a Abstract Objective:To i vest igate the MRI features of delayed e cephalopathy after carbo mo oxide poiso i g. Methods:MRI fi di gs a d cli ical mat erials of 32 cases diag osed as delayed e cephalopathy after carbo mo oxide poiso - i g were retrospectively studied. Results:O the bases of MRI fi di gs, delayed e cephalopathy after carbo mo oxide po-i so i g were classified i to three t ypes: T ype 1: show i g eural uclei i volveme t ; Type 2: showi g w hite mat ter i volve- me t a d T ype 3: show i g brai cortex i volveme t. Charact eristic MRI sig s demo st rated symmetrical oval lo g T a d 1 lo g T sig al i te sity foci i bilateral globus pallidus, a d, symmetrical, diffuse, cloudy a d blurred lesio s of lo g T a d 2 1 lo g T sig al i te sity appeared i the subc