两名伴有先兆的小儿偏头痛患者的磁敏感加权磁共振成像结果
Susceptibility-Weighted Magnetic Resonance Imaging Findings of Two Pediatric Migraine Patients with Aura.
作者信息
Gocmen Rahsan, Gunbey Ceren, Arsava Ethem Murat, Oguz Kader Karli, Haliloglu Goknur
机构信息
Department of Radiology, Hacettepe University, Sihhiye, Ankara, Turkey.
Department of Pediatric Neurology, Hacettepe University, Ankara, Turkey.
出版信息
Neuropediatrics. 2016 Jan;47(1):46-50. doi: 10.1055/s-0035-1570322. Epub 2015 Dec 30.
OBJECTIVE
Migraine with aura is considered common during the pediatric age and in some cases it could be hard to distinguish migraine from mimicking conditions. We would like to emphasize the role of susceptibility-weighted imaging (SWI) in pediatric migraine patients with aura.
METHODS
We retrospectively reviewed the clinical and SWI findings of two pediatric migraine patients with aura.
RESULTS
Initial SWI of two pediatric migraine patients with aura demonstrated venous conspicuity in the left cerebral hemisphere and follow-up SWI of them showed normal findings with symmetrical venous vasculature.
CONCLUSION
Beyond routine work-up techniques, SWI in combination with diffusion-weighted imaging is helpful for differentiation from acute ischemic stroke, especially in the setting of acephalgic migraine. Multimodality imaging may also be helpful in elucidating the underlying pathophysiologic mechanisms of migraine in the pediatric age group.
目的
伴先兆偏头痛在儿童期较为常见，在某些情况下，很难将偏头痛与类似病症区分开来。我们想强调磁敏感加权成像（SWI）在有先兆的儿童偏头痛患者中的作用。
方法
我们回顾性分析了两名有先兆的儿童偏头痛患者的临床和SWI检查结果。
结果
两名有先兆的儿童偏头痛患者的初次SWI显示左侧大脑半球静脉明显，其随访SWI显示静脉血管系统对称，结果正常。
结论
除常规检查技术外，SWI联合弥散加权成像有助于与急性缺血性中风相鉴别，尤其是在无头痛性偏头痛的情况下。多模态成像也可能有助于阐明儿童年龄组偏头痛的潜在病理生理机制。
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