临床和神经成像特征在神经学威尔逊病与闭塞病变的病变
Xin-Feng Ma1, Ling-Yun Fan2,3, Ping Jin1
1Affiliated Hospital of Institute of Neurology, Anhui Univesity of Traditional Chinese Medicine, No. 357, Changjiang Middle Road, Hefei, China.
Scientific reports
|September 28, 2024
概括
在神经性威尔逊病 (WD) 中,闭塞病变很罕见,仅影响0.7%的患者. 这些"明亮的关闭"MRI发现通常表明严重的神经症状和潜在的神经炎症.
科学领域:
- 神经学 神经学
- 放射学 放射学是一门学科.
- 神经成像是一种神经成像.
背景情况:
- 神经学威尔逊病 (WD) 是一种影响铜代谢的遗传性疾病.
- 之前的研究报告了在MRI上WD患者的闭膜病变不一致的发病率.
研究的目的:
- 调查神经性WD中关节病变的发病率,临床和成像特征.
- 探索与这些病变相关的潜在病理机制.
主要方法:
- 对神经性WD患者的MRI特征和临床数据的回顾性分析.
- 对668名WD患者的查,其中443人显示脑MRI异常.
主要成果:
- 只有三名 (0.7%) 患者在MRI上表现出闭膜病变.
- 在T2加权和FLAIR序列上呈现为"明亮的关节"的病变是双边的,对称的,非孤立的,并与严重的神经症状相关.
- "明亮的关节"可能表明神经炎症,病变在T2加权,FLAIR和DWI序列上显示过强度.
结论:
- 关节病变在神经性脑部疾病中不常见,主要发生在症状严重的患者中.
- 磁力共振成像上的"明亮的关闭体"可以作为WD中神经炎症的放射性标记物.
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