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弥散加权成像漏诊延髓外侧综合征 1 例报告并文献复习

False-negative diagnostic imaging of Wallenberg's syndrome by diffuse-weighted imaging: a case report and literature review.

机构信息

Department of Neurosurgery, The First Affiliated hospital of Harbin Medical University, Harbin, 150001, Heilongjiang Province, People's Republic of China.

出版信息

Neurol Sci. 2018 Sep;39(9):1657-1661. doi: 10.1007/s10072-018-3399-x. Epub 2018 Apr 7.

Abstract

Here, we report a case of a 64-year-old female with acute-onset vertigo, nausea, and vomiting. In an emergency imaging examination, the results of computed tomography (CT) and diffusion weighted imaging (DWI) were negative. However, on 1 day post-hospital admission, a small acute infarct in the posterolateral aspect of the left medulla was detected by DWI. Extra attention should be payed to the false-negative imaging results to avoid diagnosis and treatment delay.

摘要

这里,我们报告了一例 64 岁女性,突发眩晕、恶心和呕吐。在紧急影像学检查中,计算机断层扫描(CT)和弥散加权成像(DWI)结果均为阴性。然而,在住院后第 1 天,DWI 检测到左侧延髓后外侧的一个小急性梗死灶。应格外注意影像学结果的假阴性,以避免诊断和治疗延误。

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