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急诊室中的缺氧性、中毒性和获得性代谢性脑病:磁共振成像的作用

Hypoxic, Toxic, and Acquired Metabolic Encephalopathies at the Emergency Room: The Role of Magnetic Resonance Imaging.

作者信息

Godinho Marcos Vieira, Pires Cíntia Elias, Hygino da Cruz Luiz Celso

机构信息

CDPI/DASA-Clínica de Diagnóstico por Imagem/Diagnósticos da America, Rio de Janeiro, Brazil.

CDPI/DASA-Clínica de Diagnóstico por Imagem/Diagnósticos da America, Rio de Janeiro, Brazil.

出版信息

Semin Ultrasound CT MR. 2018 Oct;39(5):481-494. doi: 10.1053/j.sult.2018.01.005. Epub 2018 Mar 12.

Abstract

Our purpose is to describe typical computed tomography and magnetic resonance imaging findings in encephalopathies in the emergency. The focus of this article are the most frequent toxic and acquired metabolic diseases and their preferential sites of involvement, such as hepatic encephalopathy, hypoglicemia, nonketotic hyperglycemia, osmotic demyelination, posterior reversible encephalopathy syndrome, uremia, illegal drug abuse, carbon monoxide poisoning, and hypoxic-ischemic encephalopathy. The radiologist must be able to identify the most usual patterns of lesion in computed tomography and magnetic resonance imaging in these settings.

摘要

我们的目的是描述急症中脑病的典型计算机断层扫描和磁共振成像表现。本文重点关注最常见的中毒性和后天性代谢性疾病及其优先受累部位,如肝性脑病、低血糖、非酮症高血糖、渗透性脱髓鞘、后部可逆性脑病综合征、尿毒症、非法药物滥用、一氧化碳中毒和缺氧缺血性脑病。放射科医生必须能够识别这些情况下计算机断层扫描和磁共振成像中最常见的病变模式。

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