Division of Neuroradiology, Emory University Hospital, 1364 Clifton Road, Suite BG 26, Atlanta, GA 30322, USA.
Neuroimaging Clin N Am. 2010 Nov;20(4):557-80. doi: 10.1016/j.nic.2010.07.011.
This article outlines a practical imaging approach to CNS infection and reviews 5 basic imaging patterns commonly seen: (1) extra-axial lesion, (2) ring-enhancing lesion, (3) temporal lobe lesion, (4) basal ganglia lesion, and (5) white matter abnormality. Opportunistic infections in the setting of HIV are also discussed within the context of these 5 basic imaging patterns. Characteristic imaging features in conjunction with clinical history are also highlighted in order to narrow the differential diagnosis or suggest a specific diagnosis in some cases.
本文概述了中枢神经系统感染的一种实用影像学方法,并回顾了 5 种常见的基本影像学表现:(1)脑外病变;(2)环形增强病变;(3)颞叶病变;(4)基底节病变;(5)脑白质异常。本文还结合这 5 种基本影像学表现讨论了 HIV 背景下的机会性感染。为了在某些情况下缩小鉴别诊断或提示特定诊断,本文还强调了特征性影像学表现结合临床病史的重要性。