一例具有一些奇特之处的爱泼斯坦-巴尔病毒脑炎病例。
A case of Epstein-Barr encephalitis with some curiosities.
作者信息
Pinto Joana, Carvalho Sílvia, Pereira Cristina, Figueira Carolina, Robalo Conceição
机构信息
Resident Neuroradiology, CHUC Quinta dos Vales, S. Martinho do Bispo, Coimbra 3000, Portugal
Resident Neuroradiology, CHUC Quinta dos Vales, S. Martinho do Bispo, Coimbra 3000, Portugal.
出版信息
Neuroradiol J. 2015 Dec;28(6):559-61. doi: 10.1177/1971400915602802. Epub 2015 Oct 19.
We present the magnetic resonance imaging findings of an eight-year-old boy with Epstein-Barr virus (EBV) encephalitis, with special attention to lesion neuroanatomic distribution, diffusion-weighted images, and proton magnetic resonance spectroscopy (MRS). T2 and FLAIR-weighted images showed bilateral and symmetric basal nuclei lesions, with diffusion facilitation. MRS of the lesions demonstrated elevated lactate/lipid and excitatory neurotransmitters. The purpose of this report is to alert to this imagiologic pattern of EBV infection, and in particular to the fact that facilitated diffusion does occur on EBV encephalitis.
我们展示了一名患有爱泼斯坦-巴尔病毒（EBV）脑炎的8岁男孩的磁共振成像结果，特别关注病变的神经解剖分布、扩散加权成像和质子磁共振波谱（MRS）。T2加权和液体衰减反转恢复（FLAIR）加权成像显示双侧对称的基底核病变，伴有扩散易化。病变的MRS显示乳酸/脂质和兴奋性神经递质升高。本报告的目的是提醒注意EBV感染的这种影像学表现模式，特别是EBV脑炎确实会出现扩散易化这一事实。
Zotero 插件