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进行性多灶性白质脑病(PML)的常见及不常见影像学表现与鉴别诊断考量

Common and uncommon imaging findings in progressive multifocal leukoencephalopathy (PML) with differential diagnostic considerations.

作者信息

Horger M, Beschorner R, Beck R, Nägele T, Schulze M, Ernemann U, Heckl S

机构信息

Department of Radiology, Diagnostic and Interventional Radiology, Eberhard-Karls-University, Hoppe-Seyler-Str. 3, 72076 Tuebingen, Germany.

出版信息

Clin Neurol Neurosurg. 2012 Oct;114(8):1123-30. doi: 10.1016/j.clineuro.2012.06.018. Epub 2012 Jul 6.

Abstract

OBJECTIVE

To provide a practical review of the spectrum of possible imaging findings in patients with progressive multifocal leukoencephalopathy (PML) and to address differentials.

CONCLUSION

PML manifests with a broad spectrum of imaging features. Besides knowledge of preferential location, extent, temporal course, enhancement, results of functional imaging and clinical setting, recognition of imaging findings reflecting active demyelination may help the clinician in appropriately narrowing down the differential diagnosis.

摘要

目的

对进行性多灶性白质脑病(PML)患者可能的影像学表现谱进行实用性综述,并探讨鉴别诊断。

结论

PML具有广泛的影像学特征。除了了解好发部位、范围、病程、强化情况、功能成像结果及临床背景外,识别反映活动性脱髓鞘的影像学表现可能有助于临床医生合理缩小鉴别诊断范围。

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