细菌性小脑炎的诊断：扩散成像与质子磁共振波谱分析
Diagnosis of bacterial cerebellitis: diffusion imaging and proton magnetic resonance spectroscopy.
作者信息
Jaggi Ramandeep S, Husain Mazhar, Chawla Sanjeev, Gupta Archana, Gupta Rakesh K
机构信息
Department of Neurosurgery, King George's Medical University, Lucknow, India.
出版信息
Pediatr Neurol. 2005 Jan;32(1):72-4. doi: 10.1016/j.pediatrneurol.2004.06.019.
Diffusion-weighted imaging and in vivo proton magnetic resonance spectroscopy ((1)H magnetic resonance spectroscopy) have demonstrated great potential in differentiating intracranial lesions of various pathologies. This report describes a case of a 12-year-old child with cerebellitis and subdural empyema that manifested presence of succinate, acetate, lactate, and amino acids on in vivo (1)H magnetic resonance spectroscopy from a large area of restricted diffusion in the vermis on diffusion-weighted imaging, a finding specific for bacteria-induced infection. The child made a complete clinical and imaging recovery on conservative management.
扩散加权成像和活体质子磁共振波谱（氢质子磁共振波谱）在鉴别各种病理类型的颅内病变方面已显示出巨大潜力。本报告描述了一例12岁患小脑炎和硬膜下积脓的儿童病例，其活体氢质子磁共振波谱显示存在琥珀酸盐、乙酸盐、乳酸盐和氨基酸，扩散加权成像显示蚓部大面积扩散受限，这一发现是细菌感染的特异性表现。该患儿经保守治疗后临床和影像学表现完全恢复。
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