Özgür Anıl, Esen Kaan, Kaleağası Hakan, Yılmaz Arda, Kara Engin, Yıldız Altan
Department of Radiology, Faculty of Medicine, Mersin University, Mersin, Turkey.
Department of Neurology, Faculty of Medicine, Mersin University, Mersin, Turkey.
J Med Imaging Radiat Oncol. 2017 Jun;61(3):353-360. doi: 10.1111/1754-9485.12597. Epub 2017 Feb 23.
Bithalamic lesions are uncommon, however, both focal and systemic disorders may present bilateral abnormalities in the thalamus in different acute and chronic clinical situations. Neuroimaging, in particular magnetic resonance imaging, plays an essential role in diagnostic approach. Imaging features such as signal alterations, diffusion restriction or contrast enhancement are helpful in characterization of these abnormalities. The location of the lesions may provide key information because some pathologies typically involve a certain part of the thalamus. In addition to thalamic findings, neuroimaging findings in other parts of the brain associated with the clinical and laboratory information should be taken into account to make a correct diagnosis.
双侧丘脑病变并不常见，然而，无论是局灶性还是全身性疾病，在不同的急性和慢性临床情况下，都可能在丘脑中出现双侧异常。神经影像学，尤其是磁共振成像，在诊断方法中起着至关重要的作用。诸如信号改变、扩散受限或对比增强等影像学特征有助于对这些异常进行特征描述。病变的位置可能提供关键信息，因为某些病理情况通常累及丘脑的特定部位。除了丘脑的检查结果外，还应结合大脑其他部位的神经影像学检查结果以及临床和实验室信息，以做出正确的诊断。
