脑后部可逆性脑病综合征MRI及DWI特点.pdfVIP

828 墼塾堂壅壁!!!!至!旦星丝鲞星!塑 ● 中枢神经影像学 ● 脑后部可逆性脑病综合征的MRI及DWI特点 王志群，李坤成，武力勇，赵澄 床诊断为PRES患者的临床资料，患者均表现为头痛、视物不清，并伴有高血压。所有患者均行常规生化、脑脊液、血及尿 结论：PRES好发于顶枕叶皮质及皮层下白质．病变早期为血管源性水肿，晚期可表现为细胞毒性水肿，治疗及时可逆转， 采用MRI及DWI成像结合其临床特征可做出较为准确的诊断。 【关键词】脑后部可逆性脑病综合征·磁共振成像；扩散加权成像 1000—0313(2009)08—0828—04 【中图分类号】R445．2；R742【文献标识码】A【文章编号1 MRIandDWIManifestationsinthe ofPosteriorReversible WANG Kun- Diagnosis EncephalopathySyndrome Zhi—qun，LI of ofMedicalScienceXuanwu Radiology，theCapitalUniversity cheng，WULi-yong，eta1．Department 100053，P．R．China theMRIanddiffusion of reversibleen— [Abstract]0bjective：Tostudy weightedimaging(DWI)featuresposterior clinic head— caseswithPRESwereconfirmed cephalopathysyndrome(PRES)．Methods：Three by history，whichpresented fluid andurin ache．visual and routinebiochemical examination，blood disorderhypertension．The examination，cerebrospinal routineexaminationwere forallthecases．ConventionalMRI，MR andDWlwere forthe performed angiography performed three revealed lesionswhichwerelocatedinbilateral and patients．Results：MRImultiple parietaloccipitallobes，involving matterandwhite ofthelesionswasrevealedonT2WIandFLAIR ormild grey matter．Hyperintensity images；isointensity DWIand on diffu—