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小儿小脑和脑干感染性与炎症性疾病的神经影像学

Neuroimaging of Infectious and Inflammatory Diseases of the Pediatric Cerebellum and Brainstem.

作者信息

Rossi Andrea, Martinetti Carola, Morana Giovanni, Severino Mariasavina, Tortora Domenico

机构信息

Neuroradiology Unit, Istituto Giannina Gaslini, Via Gerolamo Gaslini 5, Genoa 16147, Italy.

Neuroradiology Unit, Istituto Giannina Gaslini, Via Gerolamo Gaslini 5, Genoa 16147, Italy.

出版信息

Neuroimaging Clin N Am. 2016 Aug;26(3):471-87. doi: 10.1016/j.nic.2016.03.011.

Abstract

Cerebellar involvement by infectious-inflammatory conditions is rare in children. Most patients present with acute ataxia, and are typically previously healthy, young (often preschool) children. Viral involvement is the most common cause and ranges from acute postinfectious ataxia to acute cerebellitis MR imaging plays a crucial role in the evaluation of patients suspected of harboring inflammatory-infectious involvement of the cerebellum and brainstem. Knowledge of the imaging features of these disorders and technical competence on pediatric MR imaging are necessary for a correct interpretation of findings, which in turn prompts further management.

摘要

感染性炎症累及儿童小脑的情况较为罕见。大多数患者表现为急性共济失调,通常是此前健康的幼儿(多为学龄前儿童)。病毒感染是最常见的病因,范围从急性感染后共济失调到急性小脑炎。磁共振成像(MR成像)在评估疑似小脑和脑干有炎症性感染累及的患者中起着关键作用。了解这些疾病的影像学特征以及具备小儿MR成像的技术能力对于正确解读检查结果很有必要,而这反过来又能指导进一步的治疗。

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