Musapasaoglu H, Agildere A Muhtesem, Teksam M, Tarcan A, Gurakan B
Department of Radiology, Faculty of Medicine, Baskent University Ankara, Turkey.
Br J Radiol. 2008 Feb;81(962):e57-60. doi: 10.1259/bjr/28766369.
Severe hypernatremic dehydration can cause serious neurological complications in neonates. The most significant problems include brain oedema, intracranial haemorrhage, sinus thrombosis, haemorrhagic infarcts and permanent brain damage. The symptoms of many of these complications are similar. With respect to brain MRI findings in hypernatremic neonates, this is a report that describes linear lesions that represent intracranial haemorrhage at the grey-white matter junction. These MRI findings may be helpful for diagnosing hypernatremic dehydration, and for ruling out differential diagnoses for complications of this disorder.
严重高钠血症性脱水可导致新生儿出现严重的神经并发症。最显著的问题包括脑水肿、颅内出血、静脉窦血栓形成、出血性梗死和永久性脑损伤。其中许多并发症的症状相似。关于高钠血症新生儿的脑部磁共振成像(MRI)表现,本报告描述了代表灰白质交界处颅内出血的线性病变。这些MRI表现可能有助于诊断高钠血症性脱水,并排除该疾病并发症的鉴别诊断。