脑后部可逆性脑病综合征的CT、MRI诊断体会

The Experience of CT and MRI Diagnosis Reversible Encephalopathy Syndrome in Brain

目的 探讨CT、MRI在诊断脑后部可逆性脑病综合征中的价值.方法 选取2013年11月-2014年11月在我院诊治的14例脑后部可逆性脑病综合征患者,分析其CT、MRI影像表现及临床资料,并复习相关文献.结果 8例MRI检查患者中,4例患者MRI平扫呈双侧顶枕叶基本对称分布斑片状长T1 T2信号,T2 FLAIR为高信号;4例MRI平扫右侧枕叶小斑片状长T 1长T 2信号,6例CT检查患者表现为双侧大脑后循环供血DWI呈等信号.结论 进行CT、MRI检测能帮助脑后部可逆性脑病综合征的诊断提供可靠、客观依据,在脑后部可逆性脑病综合征的临床治疗中具有价值.

Objective To explore the value of MRI and CT in the diagnosis of reversible encephalopathy syndrome.Methods Selected 14 cases of cerebral posterior reversible encephalopathy comprehensive syndrome patients from November 2013 to November 2014 in our hospital. Analyzed 14 patients with posterior reversible encephalopathy syndrome in patients with the CT and MRI findings and clinical data and related literatures were reviewed.Results In 8 patients, 4 cases with MRI plain scan showed bilateral parieto occipital lobe symmetry distribution of patchy long T 1 T 2 signal, T 2 lfair high signal, 4 cases of MRI plain scan of right occipital lobe patchy sheet long T 1 and long T 2 signal, CT findings for 6 cases of patients with bilateral posterior cerebral circulation blood and DWI showed signal.Conclusion CT and MRI can help of posterior reversible encephalopathy syndrome diagnosis provide reliable, objective basis, in posterior reversible encephalopathy comprehensive syndrome clinical treatment has value.