Bond K M, Brinjikji W, Eckel L J, Kallmes D F, McDonald R J, Carr C M
From Mayo Clinic School of Medicine (K.M.B.).
the Department of Radiology (W.B., L.J.E., D.F.K., R.J.M., C.M.C.), Mayo Clinic, Rochester, Minnesota.
AJNR Am J Neuroradiol. 2017 Aug;38(8):1467-1474. doi: 10.3174/ajnr.A5138. Epub 2017 Apr 13.
The dentate nucleus is a cerebellar structure involved in voluntary motor function and cognition. There are relatively few entities that affect the dentate, and the clinical features of these conditions are often complex and nonspecific. Because these entities are rarely encountered, the formulation of a differential diagnosis can be difficult. Many of the conditions are reversible or treatable with early intervention. Therefore, it is important to recognize classic clinical presentations and their associated characteristic imaging findings. We provide a summary of entities that affect the dentate nucleus and a diagnostic workflow for approaching dentate nucleus imaging abnormalities.
齿状核是一个参与自主运动功能和认知的小脑结构。影响齿状核的病变相对较少,这些病症的临床特征通常复杂且不具特异性。由于这些病变很少见,因此进行鉴别诊断可能很困难。许多病症通过早期干预是可逆的或可治疗的。因此,识别典型的临床表现及其相关的特征性影像学表现很重要。我们总结了影响齿状核的病变以及针对齿状核成像异常的诊断流程。