可逆性后部脑病综合征的临床及影像学表现.docVIP

精品论文 参考文献 可逆性后部脑病综合征的临床及影像学表现 周小燕 马隆佰 韩武 　　（广西壮族自治区人民医院放射科CT、MRI室 广西南宁 530021） 　　【摘要】目的 探究可逆性后部脑病综合征（RPES）的影像学和临床表现。方法 入选我院符合标准的患者54例，均给予MRI扫描，分析患者的影像学检查和临床表现特点。结果 患者临床常见的症状主要为意识障碍、头痛、视觉障碍、恶心、发作性癫痫等，发病时常伴随血压升高，影像学表现为病灶主要分布在双侧大脑的后部皮层下白质区，经常可累及额叶、颞叶、脑干、小脑等。CT检查表现出低密度影，MRI检查表现出T1或长T2信号，18例行增强MR扫描后，16例无强化，2例患者出现不同程度的增强；MRA检查没有发现血管的异常，1例患者表现大脑双侧中动脉的走形僵直。患者经临床治疗后例39病症完全消失，10例病变明显的缩小，5例遗留坏死的软化改变。结论 可逆性后部脑病综合征患者采用MRI检查，详细准确的显示出患者的病灶部位，影像学和临床表现具有一定的特点，有利于临床上正确诊断和治疗疾病，特点显著，值得推广。 　　【关键词】影像学表现 可逆性后部脑病综合征 临床表现 　　【中图分类号】R445 【文献标识码】A 【文章编号】2095-1752（2014）14-0086-02 　　The Clinical and Imaging Features of Posterior Reversible Encephalopathy Syndrome (PRES) 　　ZHOU Xiao-yan, MA Long-bai, HAN wu 　　(Department of Radiology, CT/MRI Room, the Peoplersquo;s Hospital of Guangxi Zhuang Autonomous Region, Nanning 530021, China) 　　【Abstract】Objective:To explore the clinical and imaging features of posterior reversible encephalopathy syndrome (PRES).Method:54 patients met the standard in our hospital were given MRI scanning, analysis of the patients imaging characteristics and clinical manifestations.Result:The common clinical symptoms of patients were disturbance of consciousness, headache, visual disorder, nausea, epilepsy and so on.Morbidity associated with elevated blood pressure.Imaging showed focus was mainly distributed in the posterior subcortical white matter regions of both hemispheres of the brain like frontal lobe, temporal lobe, cerebellum, brainstem and so on.CT showed low density, MRI showed T1 and long T2 signal.After enhanced MRI scans in 18 cases, 16 cases showed no enhancement, 2 patients had different enhancement.MRA examination found no vascular anomalies, 1 patients showed the middle cerebral artery of bilateral cerebral deformation rigidity.Patients after clinical treatment, symptoms disappeared completely in 39, 10 cases of lesions reduced significantly, 5 cases left necrosis softening change.Conclusion: