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中枢神经系统病毒感染的影像学检查:影像能为患病急症的大脑代言吗?

Imaging in viral infections of the central nervous system: can images speak for an acutely ill brain?

作者信息

Maller Vijetha Vinod, Bathla Girish, Moritani Toshio, Helton Kathleen J

机构信息

Department of Radiology, University of Tennessee Health Science Center, Memphis, TN, USA.

Department of Radiology, University of Iowa Hospitals and Clinics, Iowa City, IA, USA.

出版信息

Emerg Radiol. 2017 Jun;24(3):287-300. doi: 10.1007/s10140-016-1463-5. Epub 2016 Nov 16.

DOI:10.1007/s10140-016-1463-5
PMID:27853972
Abstract

Viral infections involving the central nervous system (CNS) may result from a wide variety of agents and have clinically overlapping manifestations. The diagnosis is often made based on a combination of the clinical exam, local epidemiology, imaging, and biochemical findings. Despite the advances in medicine and imaging, the diagnosis often remains elusive. Imaging, however, still plays a vital role in suggesting the diagnosis in typical cases, excluding potential mimics, and in evaluating changes with therapy. Herein, the authors present a review of various common and rare viral encephalitides with emphasis on the imaging literature.

摘要

涉及中枢神经系统(CNS)的病毒感染可能由多种病原体引起,且具有临床上相互重叠的表现。诊断通常基于临床检查、当地流行病学、影像学和生化检查结果的综合判断。尽管医学和影像学取得了进展,但诊断往往仍难以明确。然而,影像学在典型病例的诊断提示、排除潜在的相似病症以及评估治疗效果方面仍起着至关重要的作用。在此,作者对各种常见和罕见的病毒性脑炎进行综述,重点关注影像学文献。

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BMJ. 2016 Apr 13;353:i1901. doi: 10.1136/bmj.i1901.
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Herpes simplex encephalitis: unusual imaging appearances.单纯疱疹病毒性脑炎:不寻常的影像学表现。
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Zika Virus Associated with Microcephaly.寨卡病毒与小头症相关。
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Chikungunya virus-associated encephalitis: A cohort study on La Réunion Island, 2005-2009.基孔肯雅病毒相关脑炎:2005 - 2009年留尼汪岛队列研究
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[A Case of Clinically Mild Encephalitis/encephalopathy with a Reversible Splenial Lesion due to Dengue Fever].[1例因登革热导致的临床症状轻微的脑炎/脑病合并可逆性胼胝体压部病变]
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