铅中毒性脑病治疗前后的磁共振成像表现。
Pre- and posttreatment MR imaging findings in lead encephalopathy.
作者信息
Atre A L, Shinde P R, Shinde S N, Wadia R S, Nanivadekar A A, Vaid S J, Shinde R S
机构信息
Department of Radiology, Ruby Hall Clinic, Pune, Maharashtra, India.
出版信息
AJNR Am J Neuroradiol. 2006 Apr;27(4):902-3.
Abstract
A 41-year-old man suspected of having lead poisoning was evaluated with MR imaging before and after British antilewisite therapy. The MR imaging findings showed bilateral symmetric involvement of the occipital lobe, affecting predominantly the gray-white matter junction and the subcortical white matter. A right cerebellar lesion was noted, with focal hyperintensities involving the gray-white matter. Similar lesions were seen in the temporal, parietal, and frontal regions. These lesions resolved after chelation therapy.
摘要
一名疑似铅中毒的41岁男性在接受二巯丙醇治疗前后接受了磁共振成像（MR）评估。MR成像结果显示枕叶双侧对称受累，主要影响灰白质交界处和皮质下白质。发现右侧小脑有一个病变，灰白质有局灶性高信号。颞叶、顶叶和额叶也可见类似病变。螯合治疗后这些病变消失。
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JAMA. 2004 Dec 15;292(23):2868-73. doi: 10.1001/jama.292.23.2868.
2
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3
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J Neurol Neurosurg Psychiatry. 1998 Nov;65(5):797. doi: 10.1136/jnnp.65.5.797.
4
Acute lead encephalopathy in early infancy--clinical presentation and outcome.婴儿早期急性铅中毒性脑病——临床表现与预后
Ann Trop Paediatr. 1997 Mar;17(1):39-44. doi: 10.1080/02724936.1997.11747861.
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6
Lead encephalopathy mimicking a cerebellar tumor.
Acta Paediatr. 1993 Apr;82(4):423-5. doi: 10.1111/j.1651-2227.1993.tb12713.x.
7
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West J Med. 1994 Aug;161(2):153-9.
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9
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