放射性核素脑显像及计算机断层扫描在单纯疱疹性脑炎早期诊断中的作用。

The role of radionuclide brain imaging and computerized tomography in the early diagnosis of herpes simplex encephalitis.

作者信息

Go R T, Yousef M M, Jacoby C G

出版信息

J Comput Tomogr. 1979 Dec;3(4):286-96. doi: 10.1016/0149-936x(79)90032-8.

Abstract

We have reviewed the medical records and radiographic examinations of 12 patients with herpes simplex encephalitis to assess the role of RN and CT in the early diagnosis of this disease. The initial RN study was positive in 83% (10/12) of cases while the initial CT study was positive in 75% (9/12) of cases. The earliest positive RN was seen on the second day after the onset of neurologic signs or symptoms while the earliest positive CT was seen on the third day. We describe various abnormal patterns encountered in HSE and discuss their diagnostic reliability. We make recommendations for the diagnosis of HSE based on our findings and on the information available in the literature

摘要

我们回顾了12例单纯疱疹性脑炎患者的病历和影像学检查，以评估头颅磁共振成像（RN）和计算机断层扫描（CT）在该病早期诊断中的作用。最初的RN检查在83%（10/12）的病例中呈阳性，而最初的CT检查在75%（9/12）的病例中呈阳性。最早的阳性RN出现在神经体征或症状出现后的第二天，而最早的阳性CT出现在第三天。我们描述了在单纯疱疹性脑炎（HSE）中遇到的各种异常模式，并讨论了它们的诊断可靠性。我们根据我们的研究结果和文献中的可用信息对HSE的诊断提出建议