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中枢神经系统病毒和朊病毒疾病的磁共振成像

Magnetic resonance imaging in viral and prion diseases of the central nervous system.

作者信息

Vachha Behroze, Rojas Rafael, Prabhu Sanjay P, Bhadelia Rafeeque, Moonis Gul

机构信息

From the *Neuroradiology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, †Neuroradiology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, and ‡Boston Children's Hospital, Boston, MA.

出版信息

Top Magn Reson Imaging. 2014 Oct;23(5):293-302. doi: 10.1097/RMR.0000000000000033.

DOI:10.1097/RMR.0000000000000033
PMID:25296274
Abstract

The early detection and specific diagnosis of viral infections of the central nervous system are important because many of these diseases are potentially treatable. However, clinical symptoms and physical examination are often nonspecific, and rapid diagnostic tests are available for some, but not all, viruses. Neuroimaging, in conjunction with clinical history and laboratory tests, plays an important role in narrowing the differential diagnoses. In this article, we review the clinical features, imaging characteristics, diagnosis, and treatment of the more common viral infections and prions that involve the central nervous system.

摘要

中枢神经系统病毒感染的早期检测和特异性诊断很重要,因为这些疾病中有许多是有可能治愈的。然而,临床症状和体格检查往往缺乏特异性,快速诊断检测可用于某些但并非所有病毒。神经影像学结合临床病史和实验室检查,在缩小鉴别诊断范围方面发挥着重要作用。在本文中,我们回顾了累及中枢神经系统的较常见病毒感染和朊病毒的临床特征、影像学特点、诊断及治疗。

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