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1、廣西醫(yī)科大學研究生學院影像學上大腦深部灰質(zhì)核團對稱性病變的病因探討不同對病因的診斷有很大幫助。3.不同的疾病常常易損壞基底節(jié)區(qū)不同的核團,所以病變部位對病因的診斷有所幫助。4.臨床表現(xiàn)特別是病史及輔助檢查結(jié)合影像學特點,對診斷雙側(cè)灰質(zhì)核團對稱性病變的病因尤為重要。關鍵字基底節(jié),灰質(zhì)核團,丘腦,對稱性病變,神經(jīng)影像學廣西醫(yī)科大學研究生學院影像學上大腦深部灰質(zhì)核團對稱性病變的病因探討ANAIYZINGTHER姐HOGENIESOFR鲴_IENSWITHSYMMETRICIM匕久GINGLESIONSOFTHEDEEPGRA
2、YNUCLEIABSTRACT0bjectiVe:TDdiscussthecausesofsymmetriclesionsofsubcorticalgraymatternucleiwithclinicalmanifestationfromneuroimagingstudy,andtoimproVethediagnosisability.Method:ToStudysymmetriclesionsofsubcorticalgraymaIternuclei(71cases)diagnosedbyCTorMRIinourho
3、spitalorbyconsultationfrom2003Jan.to2007Sep.a(chǎn)ndtomakeananalysisandcomparisonwithhistory、clinicalmanifestationandfeaturesofneuroimaging.Result:Geneticdiseases(20cases)werethemostcommon,,includingⅪnnie卜wilsonsyndrom9(16cases),Huntingtondisease(2cases),essentialtre
4、mor(1case),andFahrdisease(1case,includingseVenpeopleofthreegenerationsfromthesamefamily).Thesecondonewastoxicdiseases(16cases),includingofcafbonmonoxide(CO)intoxation(7cases)whichwasthemostcommonamongthem,chronicmanganism(4cases),heroinspongiformleukoencephalopa
5、thy(HSLE)(1case),organophosphoruspesticide(3cases)andunknownmaterialintoxation(1case).Thethirdwasmetabolicdiseases(13cases),includinghypoparathyroidism(8cases),wernickeencephalopathy(4cases),centralpontinemyelinolysis(1case)whichduetotoorapidcorrectionof3廣西醫(yī)科大學研
6、究生學院影像學上大腦深部灰質(zhì)核團對稱性病變的病因探討hyponatremia,andchronichepaticencephalopathy(1case).Thefbrthwashypoxicischaemicdiseases(10cases),includinghypoVolemicshock(5cases),diseasesappearedaftercardiopulmonaryresuscitation(2cases),hypoxemia(2cases),andHann’ssyndrome(1case).Thef
7、ifthwasVasculardiseases(5cases),mostofthemwereischemiccerebroVasculardiseases,including4casesoftopofthebasilarsyndromeandonecaseofneonatalapoplexy.Therewere2casesofcephalitisinVolVingthalamusand1caseofcentralneⅣoussystemlymphoma.Therewere2caseswithunknownreason.
8、0neofthemhadextracorticospinaltractsymptomandchangesonMRI:hyperintensityonT1WI,hyperintensityonT2WIofglobuspallidus.Theotherappearednumbnessandtremorandshowedisointen