肿瘤样脱髓鞘病变影像特征以和鉴别诊疗.ppt

肿瘤样脱髓鞘病变影像特征以和鉴别诊疗;;MRI增强;中枢神经系统原发性炎性脱髓鞘病;;肿瘤样脱髓鞘性病变(Tumefactive demyelinating lesions ，TDLs）;Tumefactive demyelinating lesions;临床表现;实验室检查;病理表现;影像表现;CT表现;MRI表现;NEUROLOGY,2007;;;Multiple Sclerosis – Dawson’s;;;小静脉，肿瘤样波谱，胼胝体累及;提示TDLs影像征象;激素治疗后好转;鉴别诊断;与肿瘤鉴别-胶质瘤 淋巴瘤; TDLs非闭合性增强是鉴别诊断的依据之一；非脱鞘病(炎症、肿瘤等)只有7%出现非闭合性环形增强 TDLs水肿程度及占位效应相对较轻 Distinguishing Tumefactive Demyelinating Lesions from Glioma or Central Nervous System Lymphoma: Added Value of Unenhanced CT Compared with Conventional Contrast-enhanced MR Imaging Radiology 2009,251（2）：467-484;TDLs;胶母;TDLs;胶母;Glioblastoma Multiforme: no dark lin