发性脑疟疾的放射性发现:一种罕见的神经成像呈现
Biswajit Nayak1, Sritam Mohanty1, Subhashree Das2
1Department of Critical Care Medicine, IMS and SUM Hospital, Bhubaneswar, Odisha, India.
Malaria journal
|December 21, 2025
概括
大人的脑疟疾 (CM) 可能是致命的. 磁共振成像 (MRI) 在严重病例中揭示了细胞毒性胀,突出了其用于早期风险分层的诊断价值.
科学领域:
- 神经学 神经学
- 传染性疾病 传染性疾病
- 放射学 放射学是一门学科.
背景情况:
- 大脑疟疾 (CM) 是一种严重的Plasmodium falciparum并发症,表现为神经缺陷和多器官功能障碍.
- 成年CM的MRI发现,特别是快速进展的MRI发现,没有充分记录.
- 这个案例检查了一个成年人的 fulminant CM 呈现,最初CT 发现正常.
研究的目的:
- 在严重的大脑疟疾的成年病例中报告MRI发现.
- 为了强调MRI在成年CM的诊断效用.
- 为了将成像发现与疾病严重程度和预后相关联.
主要方法:
- 一名54岁的感染P. falciparum疟疾的女性患者出现了发作和改变的传感器.
- 最初的CT大脑没有显著;随后的MRI显示了双边T2 / FLAIR高强度和深灰色和白质中扩散限制.
- 患者接受了密集的支持性护理,包括抗疟药,透析和器官支持.
主要成果:
- 核磁共振扫描显示,在基底,乳头,半圆中心和周周结节白质中发现了与细胞毒性相一致的发现.
- 尽管迅速和全面的治疗,患者经历了耐火的多器官衰竭.
- 图像检测结果反映了CM特征的微血管封存和细胞毒性损伤.
结论:
- 在CT扫描无法得出结论时,MRI对于诊断成人CM至关重要.
- 特定的MRI模式,包括没有出血的细胞毒性,可以帮助早期诊断和风险分层.
- 在MRI上深灰色和白质的参与与CM的严重程度和糟糕的结果相关.
关键词:
原菌 (Plasmodium falciparum) 是一种有毒的病毒.基底腺节是基底腺节.大脑疟疾是大脑疟疾.细胞毒性 oedema 在细胞毒性 oedema 中.脑病变是一种脑病变.这就是为什么MRI是MRI.更多相关视频
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