Maller Vijetha Vinod, Bathla Girish, Moritani Toshio, Helton Kathleen J
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.
Emerg Radiol. 2017 Jun;24(3):287-300. doi: 10.1007/s10140-016-1463-5. Epub 2016 Nov 16.
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.
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。