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成人型神经元核内包涵体病脑MRI表现

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目的:探讨成人型神经元核内包涵体病(NIID)的典型MRI表现.方法:收集 10 例临床确诊为成人型NIID患者的脑MRI资料,分析病变的分布、形态、信号特征.结果:10 例NIID患者MRI表现为对称分布的多发融合状脑白质病变,多分布在皮层下及侧脑室旁,9 例患者DWI序列皮髓质交界区呈曲线样高信号.10 例中 4 例累及胼胝体,5 例累及外囊,2 例累及小脑蚓部旁白质,1 例累及双侧小脑中脚;8 例患者伴脑萎缩.结论:成人型NIID MRI表现具有一定特征,皮层下及侧脑室旁对称分布的脑白质病变及DWI序列上皮髓质交界处曲线样高信号有助于NIID的诊断.
MRI manifestations of adult-onset neuronal intranuclear inclusion disease
Aim:To investigate the typical MRI manifestations of adult-onset neuronal intranuclear inclusion disease(NIID).Methods:Brain MRI data of 10 patients with clinical diagnosis of NIID were analyzed retrospectively,and the lo-cation,morphology,and signal characteristic of lesions were observed.Results:Ten patients with NIID showed multiple fused leukodystrophy with symmetrical distribution,mostly distributed in the subcortex and periventricular white matter,9 patients showed curvilinear high-intensity signal along the corticomedullary junction on DWI.Moreover,in 10 patients,4 pa-tients involved the corpus callosum,5 patients involved the external capsule,2 patients involved the paravermal area,and 1 patient involved the middle cerebellar peduncle;8 patients showed cerebral atrophy.Conclusion:The imaging findings of a-dult-onset NIID patients have certain features,especially the symmetrical distribution of leukodystrophy in the subcortex and periventricular area,and the curvilinear high-intensity signal along the corticomedullary junction on DWI,which are helpful for the diagnosis of NIID.

neuronal intranuclear inclusion diseaseadultmagnetic resonance imaging

魏莹、王彩鸿、张勇、王欣、苗培芳、王沛沛、程敬亮

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郑州大学第一附属医院磁共振科 郑州 450052

神经元核内包涵体病 成人 磁共振成像

国家自然科学基金

82271974

2024

郑州大学学报(医学版)
郑州大学

郑州大学学报(医学版)

CSTPCD北大核心
影响因子:1.246
ISSN:1671-6825
年,卷(期):2024.59(3)
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