【摘要】 目的探讨肥厚性硬脑膜炎的临床和影像学特点。方法对16例肥厚性硬脑膜炎患者的病因、临床表现、核磁共振(MRI)及治疗进行回顾性分析。结果肥厚性硬脑膜炎可继发于感染性疾病或与自身免疫性疾病并存,临床表现以头痛最常见(100%),磁共振成像可见硬脑膜局部或弥漫性肥厚,T1WI呈等或略低信号,T2 WI呈明显低信号,增强扫描可见明显强化。结论肥厚性硬脑膜炎病因复杂,临床表现以头痛和脑神经麻痹为主要症状,磁共振检查结果是临床诊断的重要依据。更多还原

【Abstract】 Objective To analyze the clinical and radiological features of hypertrophic cranial pachymeningitis(HCP).Methods The etiology,clinical presentations,MR imaging appearances and treatment for sixity patients with HCP were analyzed retrospectively.Results HCP might occur following some infective diseases.In some cases,it could be accompanied by some kinds of self-immunity diseases.The main clinical manifestations of HCP were headache.The magnetic resonance imaging demonstrated local or diffused thickened dura.The signal intensity was changed with similar gray matter or less in T1-weighted imaging and hypointensity signal in T2-weighted imaging.The thickened dura mater was markedly enhanced through reinforced scanning.Conclusion HCP mainly presents with headache and paralysis of multiple cranial nerves.MRI examination plays an important role in clinical diagnosis of HCP.更多还原