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洞穴鼻腔MRI在炎症和缺血眼运动神经中发现的发现

Wu Yunqing¹, Cui Shilei, Li Yong

¹Departments of Neurology (WY, CS, SX, WJ) and Radiology (LQ), Beijing Tongren Hospital, Capital Medical University, Beijing, China; and Department of Radiology (LY), Plastic Surgery Hospital, Chinese Academy of Medical Science, Beijing, China.

Journal of neuro-ophthalmology : the official journal of the North American Neuro-Ophthalmology Society

|September 26, 2023

概括

洞穴鼻腔MRI发现在炎症性和缺血性眼运动神经麻之间存在差异. 虽然成像可以暗示炎症,但不能完全排除缺血,因此在诊断时需要谨慎.

科学领域:

神经学神经学
放射学放射学是一门学科.
眼科医生眼科眼科

背景情况:

在洞穴鼻腔MRI上的不对称增强在区分缺血性和炎症性眼运动神经 (OCN) 麻中的作用受到争议.
这项研究旨在分析患有异常性炎症,微血管性缺血性OCN和眼性肌痛神经衰竭 (OMG) 的患者的洞穴鼻腔MRI发现.

研究的目的:

为了调查和比较洞穴鼻腔MRI特征跨不同原因的OCN.
评估MRI在区分炎症性和缺血性OCN的诊断效用.

主要方法:

从66名患有炎症的患者,117名患有缺血性OCN的患者和60名患有OMG的患者的洞穴鼻腔MRI的回顾性分析.
核磁共振扫描结果的比较,包括异常率,临床诊断和成像诊断之间的不一致性,以及特定特征,如厚度,增强和相邻的病变.

主要成果:

洞穴鼻腔MRI异常在缺血组 (61.5%) 比OMG组 (41.7%) 更频繁.
临床诊断和成像之间的不一致性在缺血组 (13.7%) 与炎症组 (3.0%) 相比较较高.
与缺血组相比,炎症组的洞穴性鼻厚度,加厚增强和相邻增强病变 (P < 0.001) 的比率显著更高.

结论:

洞穴鼻腔MRI发现受到潜在病理和复杂的神经解剖学的影响.
虽然某些MRI特征表明炎症,但它们并不排除缺血性原因,警告不要过度依赖仅仅对成像进行诊断.

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