【摘要】 目的:探讨中枢神经受累的系统性血管炎与结核性脑膜和(或)脑炎的头颅M R I的差别。方法:回顾性收集32例中枢神经系统血管炎,34例结核性脑膜和(或)脑炎。对比两组患者的M R I表现。结果:中枢神经系统血管炎顶叶病灶明显多于结核组(P<0.05),其他病变部位无区别;中枢神经系统血管炎的病灶强化中的条索样强化多见于结核(P<0.05),其余病灶强化类型无区别;中枢神经系统血管炎的脑膜强化连续性的少于结核组,非连续性的强化多于结核组(P<0.01)。脑出血形式差异无显著性。结论:中枢神经系统性血管炎的病灶在顶叶较结核多见,病灶条索样增强较多见,脑膜强化多为非连续性的,通过上述表现可帮助鉴别两病。更多还原

【Abstract】 Objective:To explore the diference of MRI between systemic vasculltis affecting CNS and tuberculosis meningitis/ meningoencephalitis.Method:32 cases of systemic vasculltis affecting CNS and 34 cases of tuberculosis meningitis/meningoencephalitis were collected retrospectivly,the MRI was contrasted in two groups.Results:The ratio of the parietal lobe lesion,the trab-like-intensification lesion,the noncontinuity-intensification mening of systemic vasculltis affecting CNS were higher than that of tuberculosis meningitis/meningoencephalitis(P<0.05).The pattern of hemorrhage was no significant deviation(P>0.05).Conclusion:The location of lesion,intensification of lesion and intensification of mening are different obviously,which will be helpful to discriminate systemic vasculltis affecting CNS from tuberculosis meningitis/meningoencephalitis.更多还原