【医学课件】中枢神经系统影像诊断CNS.ppt

CT manifestation ① 、Epidural hematoma ② 、Subdural hematoma ③ 、Intracerebral hematoma ④ 、Cerebral contusion shows a localized biconvex high density under the inner table Generalized peripheral high density under the inner table Round or irregular hyperdensity Haemorrhage and edema are intercurrent,producing motley density MRI manifestation ① 、Chronic epidural hematoma Shows a localized biconvex high intensity under the inner table ② 、Chronic subdural hematoma Generalized peripheral high intensity under the inner table ③ 、Chronic intracerebral hematoma Chronic hematoma producing irregular hyperintensity with ring sign. （三） Vascular diseases 1、Intracranial aneurysm DSA CT MRI Demonstrate rounded high density link to relative artery with irregular size and smooth margin Shows rounded flow void with smooth margin on T1WI and T2WI Displays isodensity on plain scan and rounded hyperdensity on CECT 2、Intracranial vascular malformation （Arteriovenous malformation） DSA CT MRI Vein early emerging,malformed nidus, narrowing of feeding artery,dilated draining vein. Malformed vascular nidus producing racemose flow void with narrowing of feeding artery,dilated draining vein. Displays isodensity on plain scan and rounded hyperdense malformed vascular nidus on CECT 3、cerebral infarction MRI Ischemic infarction producing sector or irregular shape with T1 and T2 prolongation. Mass effect can been seen in extensive cases. cerebral lacuna have been identified as infarctions less than 1 cm. CT Ischemic infarction producing sector or irregular hypodensity with blurred margin. cerebral lacunas are not easy to find. 四、Infectious diseases Suppurative infection: Tuberculous infection： Viral infection： Patasitic infection： Encephalitis, Brain abscess, Meningitis Meningitis, Tuberculoma Encephalitis, Meningitis Cysticercosis, Schistosomiasis 1、Brain abscess CT: Plain scan shows round hypodensity with ringlike peripheral isodensity and edema. There is ring enhancement of the uniform thick