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头颅超声和磁共振成像在中枢神经系统感染诊断中的作用。

The role of cranial ultrasound and magnetic resonance imaging in the diagnosis of infections of the central nervous system.

作者信息

de Vries Linda S, Verboon-Maciolek Malgorzata A, Cowan Frances M, Groenendaal Floris

机构信息

Department of Neonatology, University Medical Centre, Utrecht, The Netherlands.

出版信息

Early Hum Dev. 2006 Dec;82(12):819-25. doi: 10.1016/j.earlhumdev.2006.09.006. Epub 2006 Oct 23.

DOI:10.1016/j.earlhumdev.2006.09.006
PMID:17059873
Abstract

Imaging data concerning infection of the central nervous system (CNS) in neonates are usually confined to small groups of infants. We have reviewed the imaging findings in 96 preterm and full-term infants admitted to our neonatal intensive care unit over a 15 year period. Neuro-imaging, especially cranial ultrasound (CUS) and magnetic resonance imaging (MRI) provided useful information; CUS allows the early and later detection of calcification, germinolytic and parenchymal cysts, ventricular dilatation and strands and ependymal abnormality; diffusion weighted imaging (DWI) is especially useful in the acute stage of bacterial and viral infections, while conventional MRI helps in the detection of neocortical dysplasia in CMV infection and defining cerebellar abnormality.

摘要

有关新生儿中枢神经系统(CNS)感染的影像学数据通常局限于一小部分婴儿。我们回顾了15年间入住我们新生儿重症监护病房的96例早产儿和足月儿的影像学检查结果。神经影像学,尤其是头颅超声(CUS)和磁共振成像(MRI)提供了有用的信息;CUS可早期及后期检测钙化、生发层溶解和实质囊肿、脑室扩张和条索以及室管膜异常;弥散加权成像(DWI)在细菌和病毒感染的急性期特别有用,而传统MRI有助于检测巨细胞病毒感染中的新皮质发育异常并明确小脑异常。

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