| 赵红军,周义成,周坦峰.高血压脑病的影像学分析[J].中国医学影像技术,2009,25(4):578~580 |
| 高血压脑病的影像学分析 |
| Imaging analysis of hypertensive encephalopathy |
| 投稿时间：2008-11-08 修订日期：2008-12-17 |
| DOI： |
| 中文关键词: 高血压脑病 体层摄影术,X线计算机 磁共振成像 |
| 英文关键词:Hypertensive encephalopathy Tomography, X-ray computed Magnetic resonance imaging |
| 基金项目: |
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| 中文摘要: |
| 目的 探讨高血压脑病(HE)的CT和MRI特点。 方法 回顾性分析65例临床诊断为HE患者的影像学资料,其中38例接受CT检查,5例接受MR检查,22例同时接受CT和MR检查。 结果 20例患者未发现异常;45例患者发现异常,其中26例表现为典型的顶枕部水肿,19例为弥漫性水肿。 结论 HE患者的头部CT、MRI可表现为无明显异常改变或典型的顶枕叶水肿及弥漫性脑水肿。CT、MR头部扫描及定期复查对HE的诊断和疗效评价具有重要意义。 |
| 英文摘要: |
| Objective To investigate CT and MRI features of patients with hypertensive encephalopathy (HE). Methods CT and MR images of 65 patients with HE were reviewed retrospectively. Among 65 patients, 38 underwent CT scan, 5 underwent MR scan and 22 underwent both CT and MR scan. Results No obvious changes were detected in 20 patients, while abnormal findings in the cranial CT and MRI were found in 45 patients, including typical edema in the parietal and occipital lobes (n=26) and diffuse edema of the brain (n=19). Conclusion Cranial CT and MRI features of patients with HE can display with no obvious changes, typical edema in the parietal and occipital lobes or diffuse edema of the brain. Cranial CT and MR scan has great significance for the diagnosis and differential diagnosis of HE as well as the assessment of therapeutic effect. |
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