Rapalino Otto, Mullins Mark E
Department of Radiology, Massachusetts General Hospital, Boston, Massachusetts.
Department of Radiology and Imaging Sciences, Emory University School of Medicine, Atlanta, Georgia.
Neurosurgery. 2017 Jul 1;81(1):10-28. doi: 10.1093/neuros/nyx201.
There are many infectious and inflammatory processes affecting the central nervous system that can simulate other neurosurgical pathologies (e.g. tumor) and may precipitate a brain biopsy for definitive diagnosis if not suspected a priori. The challenge for the healthcare team is to recognize imaging features that support a nonsurgical pathology to avoid unnecessary interventions. This review aims to give a general overview of some common inflammatory and infectious entities that affect the central nervous system, with illustrative examples and highlighting important pearls and pitfalls.
有许多影响中枢神经系统的感染性和炎症性病变,它们可能模拟其他神经外科疾病(如肿瘤),如果事先未被怀疑,可能会促使进行脑活检以明确诊断。医疗团队面临的挑战是识别支持非手术性病变的影像学特征,以避免不必要的干预。本综述旨在对一些影响中枢神经系统的常见炎症性和感染性疾病进行概述,并给出实例,强调重要要点和陷阱。