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成人型神经元核内包涵体病的影像学表现
Imaging manifestations of adult-onset neuronal intranuclear inclusion disease
【摘要】 目的:探讨成人型神经元核内包涵体病(NIID)的影像学特征。方法:收集5例NIID的临床与影像学资料,分析其CT和MRI表现。结果:4例行CT平扫示脑白质呈低密度。4例行MRI扫描,T1WI示脑白质呈低信号,T2WI、T2FLAIR呈高信号,DWI示皮髓质交界处(U型纤维)持续性高信号,即皮层下火焰征、尿布征;2例行增强扫描,未见明显强化。结论:NIID的影像学表现具有一定特征,掌握其影像学表现可提高对该病的诊断水平。
【Abstract】 Objective:To study imaging manifestations of adult-onset neuronal intranuclear inclusion disease(NIID) and their correlation with pathology,in order to improve the diagnostic accuracy. Methods:The clinical and imaging features of 5 cases of NIID with pathology proven were retrospectively analyzed,and the CT and MRI features were studied. Results:Low density was shown on non-enhanced CT imaging in brain white matter. Low signal on T1WI,high signal on T2WI and T2 FLAIR,and persistent high signal on DWI at the corticomedullary junction(U-shaped fibers),which called "subcortical flame sign" and "diaper sign",with no obvious enhancement. Conclusions:NIID has certain characteristics. Grasping its imaging signs can improve the diagnostic level of the disease.
【Key words】 Neuronal intranuclear inclusion disease; Neurodegeneration; Tomography,X-ray computed; Magnetic resonance imaging; Pathology;
- 【文献出处】 中国中西医结合影像学杂志 ,Chinese Imaging Journal of Integrated Traditional and Western Medicine , 编辑部邮箱 ,2020年03期
- 【分类号】R741;R445.2;R816.1
- 【被引频次】1
- 【下载频次】237