轻微脑炎脑病伴可逆性胼胝体压部病变的MRI诊断分析.docVIP

精品论文 参考文献 轻微脑炎脑病伴可逆性胼胝体压部病变的MRI诊断分析 　马力 苏国华 王涛 　　（四川省凉山彝族自治州第一人民医院放射科 四川 西昌 615000） 　　【摘要】 目的：分析轻微脑炎脑病（MERS）伴可逆性胼胝体压部病变（RESLES）的MRI诊断特点。方法：选取我院2012年3月～2015年4月放射科收治确诊的12例RESLES患者，均经MRI影像确诊，通过临床资料和相关检查记录整理，回顾性分析该12患者MRI影像学特点。结果：MRI影像显示RESLES病灶部位均局限分布于胼胝体压部，T1WI上多呈稍低信号；DWI序列可见明显高信号；ADC上12例均呈低信号；短期对症治疗后病灶异常信号均恢复正常，T1WI和DMI显示病灶消失，异常信号均恢复正常。结论：MRI可为MERS伴RESLES临床确诊的重要参考依据。 　　【关键词】 轻微脑炎脑病；可逆性胼胝体压部病变；MRI 　　【中图分类号】R742 【文献标识码】A 【文章编号】2095-1752（2016）18-0198-02 　　MRI diagnosis of mild encephalitis encephalopathy with reversible splenial lesions of corpus callosum Ma Li,Su Guohua,Wang Tao 　　Department of Radiology,the First Peoplersquo;s Hospital of Liangshan Yi Autonomous Prefecture,China 　　【Abstract】Objective To analyze the characteristics of MRI in the diagnosis of MERS with RESLES. Methods 12 cases of patients with RESLES who were admitted in the Department of Radiology of our hospital between March 2012 and April 2015 were selected and confirmed by MRI image. Through rearrangement of clinical data and related inspection records, the imaging features of MRI in the 12 patients were retrospectively analyzed. Results MRI images showed that the sites of RESLES were the corpus callosum. There mainly was slightly lower signal on T1W1；DWI sequence was with presence of obvious high signal; 12 cases showed low signal on ADC; After short-term symptomatic treatment, the abnormal signals of the lesions on ADC were all recovered to normal. On T1WI and DMI, it showed that lesions disappeared and abnormal signals recovered to normal. Conclusions MERS with RESLES in MRI imaging is important references for diagnosis. 　　【Key words】 Mild encephalitis encephalopathy; Reversible splenial lesions of corpus callosum; MRI 　　 RESLES在临床中较为罕见，发病机制至今尚未完全明确，???据世界范围内报道的流行病学结果显示，RESLES多发于小儿群体。由于RESLES无明显特异性症状，多数患者于MRI影像检测中偶然发现，给临床诊疗预防带来较大困难[2]。据此我院于2012年3月～2015年4月对经MRI确诊的12例RESLES患者进行回顾性分析，旨在探讨RESLES的MRI影像学特点。 　　1.临床资料 　　1.1 研究对象 　　该12例患者均于2012年3月～2015年4月入我院放