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中枢神经系统化脓性感染的影像学表现

Imaging aspects of pyogenic infections of the central nervous system.

作者信息

Ferreira Nelson Paes Diniz Fortes, Otta Gilberto Miyazaki, do Amaral Lázaro Luís Faria, da Rocha Antônio José

机构信息

Department of Neuroradiology, Medimagem-Hospital Beneficência Portuguesa de São Paulo, São Paulo, Brazil.

出版信息

Top Magn Reson Imaging. 2005 Apr;16(2):145-54. doi: 10.1097/01.rmr.0000189107.55275.f6.

Abstract

Although pyogenic infections of the central nervous system are not a frequent group of diseases, their morbidity and mortally are very high. For this reason they require prompt diagnosis and treatment to avoid several complications that can lead to an undesired outcome. In this article, we review the imaging findings of these infections according to the anatomic site, their complications, and their differential diagnosis. Special attention is given to the different techniques of magnetic resonance imaging like perfusion, spectroscopy, and diffusion, for each specific situation such as meningitis, abscess, ventriculitis, purulent extra axial collections, and vascular complications.

摘要

虽然中枢神经系统的化脓性感染并非一类常见疾病,但其发病率和死亡率都非常高。因此,它们需要及时诊断和治疗,以避免可能导致不良后果的多种并发症。在本文中,我们根据解剖部位、并发症及其鉴别诊断来综述这些感染的影像学表现。针对每种具体情况,如脑膜炎、脓肿、脑室炎、轴外脓性积液和血管并发症,我们特别关注磁共振成像的不同技术,如灌注成像、波谱分析和扩散成像。

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