炎性脱髓鞘假瘤MRI表现及临床特征表现
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摘要
目的总结脑内脱髓鞘假瘤(DTP)MRI主要征象及临床特征。方法选取我院于2014年10月-2016年10月收治的15例脑内脱髓鞘假瘤患者作为研究对象,分析脑内脱髓鞘假瘤的MRI影像特点。结果采用1.5T超导型MR扫描仪对患者头颅检查获取MRI图像结果显示:15例患者病灶均累及皮层下白质区,病灶主要位于额、顶、颞叶、侧脑室周围、枕叶,病灶形态主要为类圆形(直径大于2cm)。结论多数脑内脱髓鞘假瘤患者病灶部位与患者的临床表现具有直接关系,脑内脱髓鞘假瘤常不累及大脑皮层、没有癫痫症状,临床症状不同于胶质瘤。
Objective To summarize the diagnostic value and clinical characteristics of intracerebral demyelinating pseudotumor(DTP). Methods The clinical data of 15 patients with intracerebral demyelinating pseudotumor from October 2014 to October 2016 were selected as the study subjects to analyze the MRI imaging characteristics. Results Using 1.5 T superconducting MR scanner to obtain MRI images, the lesions of 15 patients were all located in the subcortical leucorrhea region. The lesions were mainly located in the frontal,parietal, lateral ventricle and occipital lobe. Conclusion Most patients with demyelinating pseudotumor in the brain have direct relationship with the clinical manifestations of patients. Intracerebral demyelinating pseudotumors usually do not involve the cerebral cortex and have no epileptic symptoms. Their clinical symptoms are different from those of gliomas.
Objective To summarize the diagnostic value and clinical characteristics of intracerebral demyelinating pseudotumor(DTP). Methods The clinical data of 15 patients with intracerebral demyelinating pseudotumor from October 2014 to October 2016 were selected as the study subjects to analyze the MRI imaging characteristics. Results Using 1.5 T superconducting MR scanner to obtain MRI images, the lesions of 15 patients were all located in the subcortical leucorrhea region. The lesions were mainly located in the frontal,parietal, lateral ventricle and occipital lobe. Conclusion Most patients with demyelinating pseudotumor in the brain have direct relationship with the clinical manifestations of patients. Intracerebral demyelinating pseudotumors usually do not involve the cerebral cortex and have no epileptic symptoms. Their clinical symptoms are different from those of gliomas.
引文
[1]张伟,刘勇,薛鹏,等.脑内脱髓鞘性假瘤MRI表现[J].中国医学影像技术,2016, 32(7):1026-1030.
[2]方金洲,杨大为,姚晶晶,等.MRI增强扫描对脑内脱髓鞘假瘤的诊断价值[J].中国神经免疫学和神经病学杂志,2012, 19(3):225-227.
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[5]蒋代彬,张连山,王建,等.脑内假瘤样脱髓鞘的MRI表现特点[J].川北医学院学报,201 3, 28(1):60-63.
[6]范伊哲,任翠萍,石晓莹,等.脱髓鞘假瘤2 0例临床特征及MRI诊断[J].实用医学杂志,2015(6):984-986.
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[8]张文洛,戚晓昆,刘建国,等.瘤样炎性脱髓鞘病MR I的临床意义[J].脑与神经疾病杂志,2010,18(4):253-256.
[9]罗晓,陈少琼,康庄,等.4种罕见脱髓鞘疾病的MRI表现[J].中国医学影像技术,2011,27(2):281-285.
[10]苗延巍,蔡兆诚,张清,等.多发性硬化白质脱髓鞘斑块的磁敏感加权成像及动态磁敏感增强灌注成像研究[J].中华放射学杂志,201 1, 45(5):426-431.
[11]刘建国,乔文颖,郑奎宏,等.瘤样脱髓鞘病与胶质瘤的临床、影像对比研究[J].中华医学杂志,2014,94:3047-3051.
[12]龚辛春,李慧芳,王维娜,等.脱髓鞘假瘤的临床病理观察[J].常州实用医学,201 0,26(5):283-286.
[13]邹光成,刘玉博,刘永辉,等.脑脱髓鞘性假瘤磁共振成像表现[J].实用医学影像学杂志,2012, 13:219-222.
[14]范伊哲,任翠萍,石小莹,等.脱髓鞘病假瘤2 0例临床特征及MR I诊断[J].实用影像学杂志,2015, 31:984-986.
[15]孙长录.中枢神经系统脱髓鞘假瘤的MRI特征与诊断价值的研究[J].中国CT和MRI杂志,2 017, 15(12):8-10.
[16]张福康,冯仕庭,陈境弟,等.肺结核球和炎性假瘤C T动态增强扫描的表现[J].中国CT和MRI杂志,2011, 9(2):32-34.
[2]方金洲,杨大为,姚晶晶,等.MRI增强扫描对脑内脱髓鞘假瘤的诊断价值[J].中国神经免疫学和神经病学杂志,2012, 19(3):225-227.
[3]付峰,陈振东,董海波,等.脑内脱髓鞘假瘤M R I及病理学特征[J].中国临床医学影像杂志,2011,22(12):871-873.
[4]王照阁.MRI对脑脱髓鞘假瘤诊断和疗效评价的应用研究[J].中国医疗器械信息,2017,23(10):1-3.
[5]蒋代彬,张连山,王建,等.脑内假瘤样脱髓鞘的MRI表现特点[J].川北医学院学报,201 3, 28(1):60-63.
[6]范伊哲,任翠萍,石晓莹,等.脱髓鞘假瘤2 0例临床特征及MRI诊断[J].实用医学杂志,2015(6):984-986.
[7]朱熙,莫友发.脊髓多发性硬化的MRI诊断及临床分析[J].中国CT和MRI杂志,2010, 8(6):6-8.
[8]张文洛,戚晓昆,刘建国,等.瘤样炎性脱髓鞘病MR I的临床意义[J].脑与神经疾病杂志,2010,18(4):253-256.
[9]罗晓,陈少琼,康庄,等.4种罕见脱髓鞘疾病的MRI表现[J].中国医学影像技术,2011,27(2):281-285.
[10]苗延巍,蔡兆诚,张清,等.多发性硬化白质脱髓鞘斑块的磁敏感加权成像及动态磁敏感增强灌注成像研究[J].中华放射学杂志,201 1, 45(5):426-431.
[11]刘建国,乔文颖,郑奎宏,等.瘤样脱髓鞘病与胶质瘤的临床、影像对比研究[J].中华医学杂志,2014,94:3047-3051.
[12]龚辛春,李慧芳,王维娜,等.脱髓鞘假瘤的临床病理观察[J].常州实用医学,201 0,26(5):283-286.
[13]邹光成,刘玉博,刘永辉,等.脑脱髓鞘性假瘤磁共振成像表现[J].实用医学影像学杂志,2012, 13:219-222.
[14]范伊哲,任翠萍,石小莹,等.脱髓鞘病假瘤2 0例临床特征及MR I诊断[J].实用影像学杂志,2015, 31:984-986.
[15]孙长录.中枢神经系统脱髓鞘假瘤的MRI特征与诊断价值的研究[J].中国CT和MRI杂志,2 017, 15(12):8-10.
[16]张福康,冯仕庭,陈境弟,等.肺结核球和炎性假瘤C T动态增强扫描的表现[J].中国CT和MRI杂志,2011, 9(2):32-34.