Tribl G G, Strasser G, Zeitlhofer J, Asenbaum S, Jarius C, Wessely P, Prayer D
Universitätsklinik für Neurologie, Allgemeines Krankenhaus Wien, Währinger Gürtel, Vienna, Austria.
Neuroradiology. 2002 Mar;44(3):223-6. doi: 10.1007/s002340100695.
A 48-year-old man suddenly developed clinically and electroencephalographically nonspecific dementia. On MRI sequences, only diffusion-weighted images (DWI) of the cortex were unequivocally pathological. Obvious atrophy and basal ganglia signal changes appeared only 9 months after the onset. Brain biopsy confirmed Creutzfeldt-Jakob disease (CJD). In rapidly progressive dementia, we recommend DWI for early diagnosis of CJD.
一名48岁男性突然出现临床和脑电图表现均无特异性的痴呆症状。在MRI序列中,仅皮质的弥散加权成像(DWI)有明确的病理学表现。明显的萎缩和基底节信号改变在起病9个月后才出现。脑活检确诊为克雅氏病(CJD)。对于快速进展性痴呆,我们建议采用DWI进行CJD的早期诊断。