回旋镖征.pptxVIP

回旋镖征（Boomerang sign）;什么是回旋镖？; 概 述;概 述;临床表现;可能出现回旋镖征的情况 各种脑病（高原反应） 脑炎（病毒性、隐球菌、神经梅毒等） 脑外伤 马毕综合征（Marchiafava-Bignami综合征） 癫痫持续状态 抗癫痫药物停用 代谢性疾病（低血糖、高血钠）;病理生理学机制;;影 像;影 像;;;;鉴别诊断;;鉴别诊断;Rickettsial Encephalitis;Boomerang plus sign;钩端螺旋体病;MRI of the brain after 4 weeks. (A) FLAIR, (B) axial T2-weighted, and (C) sagittal T2-weighted images showing complete resolution of the lesion in the central splenium of the corpus callosum.;with refractory epilepsy, showing normal, axial, T1WI (a), T2WI (b)， FLAIR(c) images with increased signal intensity of the entire splenium of corpus callosum (“Boomerang sign”) on DWI(d); repeat DWI(e), done at 6 months, showing complete resolution of abnormal signals involving the splenium. Magnetic resonance angiogram (f) did not reveal any abnormality;Magnetic resonance imaging (Brain) of case 2, with localization related epilepsy, showing a right-sided well defined parafalcine extra-axial space occupying lesion, with perilesional edema, in T1WI (a), T2WI (b) and coronal (c) images. T2WI (d), axial section, focussing on the corpus callosum appears normal while a uniform hyperintensity of the splenium of corpus callosum (“Boomerang sign”) on DWI(e) is evident. Follow up DWI(f), done at 1 week, depicts complete disappearance of altered signals in the splenium;case 3, with hemicrania continua, showing semilunar hyperintensity (“mini-boomerang”) on axial T2WI(a) and FLAIR (b) images with a focal hyperintensity on sagittal T2WI(c); there was no evidence of restriction on DWI(d) and the ADC map (e) was normal. Lack of proper visualization of veins at the level of vein of Galen was evident on MRV(f). Repeat T2WI(g) and FLAIR recovery image (h) at 3 months showing complete resolution of the abnormal signals in splenium. MRA(i) did not reveal any abnormality;MR(Brain) of case 4, with post-infectious parkinsonism, showing hyperintense signals in bilateral substantia nigra on axial T2WI(a), more pronounced on left side; T1WI(b) and T2WI(c) imag