Department of Neurology, CHU Nîmes, Hôpital Caremeau, Nîmes, France.
J Neurol Neurosurg Psychiatry. 2014 Sep;85(9):1041-8. doi: 10.1136/jnnp-2013-307072. Epub 2014 Feb 21.
Lesions of the corpus callosum (CC) are seen in a multitude of disorders including vascular diseases, metabolic disorders, tumours, demyelinating diseases, trauma and infections. In some diseases, CC involvement is typical and sometimes isolated, while in other diseases CC lesions are seen only occasionally in the presence of other typical extra-callosal abnormalities. In this review, we will mainly discuss the MRI characteristics of acquired lesions involving the CC. Identification of the origin of the CC lesion depends on the exact localisation of the lesion(s) inside the CC, presence of other lesions seen outside the CC, signal changes on different MRI sequences, evolution over time of the radiological abnormalities, history and clinical state of the patient, and other radiological and non-radiological examinations.
胼胝体(CC)病变可见于多种疾病,包括血管疾病、代谢疾病、肿瘤、脱髓鞘疾病、创伤和感染。在一些疾病中,CC 受累是典型的,有时是孤立的,而在其他疾病中,CC 病变仅在存在其他典型的胼胝体外异常时偶尔出现。在这篇综述中,我们将主要讨论累及 CC 的获得性病变的 MRI 特征。CC 病变的起源的确定取决于病变(多个病变)在 CC 内的确切定位、CC 外是否存在其他病变、不同 MRI 序列上的信号变化、放射学异常随时间的演变、患者的病史和临床状况,以及其他影像学和非影像学检查。