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[斯特奇-韦伯综合征。疾病进程的早期表现及可视化]

[Sturge-Weber syndrome. Early manifestation and visualization of disease course].

作者信息

Stranzinger E, Huisman T A G M

机构信息

Abteilung Bilddiagnostik, Universitäts-Kinderklinik, Steinwiesstr. 75, CH-8032 , Zürich, Schweiz.

出版信息

Radiologe. 2007 Dec;47(12):1126-30. doi: 10.1007/s00117-006-1416-1.

DOI:10.1007/s00117-006-1416-1
PMID:17028840
Abstract

BACKGROUND

The purpose of this study was to evaluate ultrasound, MRI, and CT investigations in children with Sturge-Weber syndrome.

PATIENTS AND METHODS

From 1996 to 2005, a total of 15 investigations of the brain performed in 6 children with Sturge-Weber syndrome were reviewed. We evaluated four ultrasound, five CT, and six MRI exams.

RESULTS

With ultrasound an increase of the echogenicity of the periventricular white matter was depicted in the first days of life. MRI is the best modality to demonstrate the vascular malformation, the impaired cerebral venous drainage, and the atrophy of one hemisphere.

CONCLUSIONS

One-sided periventricular hyperechogenicity on ultrasound can be an early sign of Sturge-Weber syndrome in children with a nevus flammeus. MRI is the method of choice to diagnose Sturge-Weber syndrome and to follow up these children if the neurological status of the patients changes.

摘要

背景

本研究的目的是评估超声、磁共振成像(MRI)和计算机断层扫描(CT)对患有斯-韦综合征(Sturge-Weber syndrome)儿童的检查情况。

患者与方法

回顾了1996年至2005年期间对6例患有斯-韦综合征儿童进行的共计15次脑部检查。我们评估了4次超声、5次CT和6次MRI检查。

结果

超声检查显示,在出生后的头几天,脑室周围白质的回声增强。MRI是显示血管畸形、脑静脉引流受损以及一侧半球萎缩的最佳检查方式。

结论

对于患有葡萄酒色斑的儿童,超声检查显示的单侧脑室周围高回声可能是斯-韦综合征的早期征象。如果患者的神经状态发生变化,MRI是诊断斯-韦综合征并对这些儿童进行随访的首选方法。

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[Sturge-Weber syndrome. Early manifestation and visualization of disease course].[斯特奇-韦伯综合征。疾病进程的早期表现及可视化]
Radiologe. 2007 Dec;47(12):1126-30. doi: 10.1007/s00117-006-1416-1.
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Choroid plexus size in young children with Sturge-Weber syndrome.患有斯-韦二氏综合征的幼儿脉络丛大小
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Sturge-Weber syndrome: CT and MRI illustrations.斯特奇-韦伯综合征:CT与MRI图像
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Leptomeningeal enhancement and enlarged choroid plexus simulating the appearance of Sturge-Weber disease in a child with tuberous sclerosis.结节性硬化症患儿出现软脑膜强化和脉络丛增大,模拟了斯特奇-韦伯综合征的表现。
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引用本文的文献

1
Pre- and postnatal imaging of early cerebral damage in Sturge-Weber syndrome.Sturge-Weber 综合征早期脑损伤的产前及产后影像学研究。
Pediatr Radiol. 2013 Nov;43(11):1536-9. doi: 10.1007/s00247-013-2743-9. Epub 2013 Jul 23.

本文引用的文献

1
Early diagnosis of cerebral involvement in Sturge-Weber syndrome using high-resolution BOLD MR venography.利用高分辨率血氧水平依赖性功能磁共振静脉血管造影术早期诊断斯特奇-韦伯综合征的脑受累情况。
Pediatr Radiol. 2005 Jan;35(1):85-90. doi: 10.1007/s00247-004-1333-2. Epub 2004 Oct 6.
2
Early characteristics of Sturge-Weber syndrome shown by perfusion MR imaging and proton MR spectroscopic imaging.灌注磁共振成像和质子磁共振波谱成像显示的斯-韦二氏综合征的早期特征
AJNR Am J Neuroradiol. 2003 Oct;24(9):1912-5.
3
Choroid plexus size in young children with Sturge-Weber syndrome.
患有斯-韦二氏综合征的幼儿脉络丛大小
AJNR Am J Neuroradiol. 1996 Jan;17(1):175-80.
4
Progressive venous occlusion in a neonate with Sturge-Weber syndrome: demonstration with MR venography.患有斯特奇-韦伯综合征的新生儿的进行性静脉闭塞:磁共振静脉造影显示
AJNR Am J Neuroradiol. 1995 Aug;16(7):1539-42.