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多发性硬化症:双倍剂量造影剂延迟扫描的计算机断层扫描与其他诊断测试相比的诊断价值。

Multiple sclerosis: diagnostic value of computerized tomography with delayed scanning after a double-dose of contrast medium in comparison with other diagnostic tests.

作者信息

Weitze C, Hertel G, Brittner W

机构信息

Department of Neurology, Rudolf Virchow Hospital, Free University of Berlin, West Germany.

出版信息

Neurosurg Rev. 1988;11(1):53-8. doi: 10.1007/BF01795695.

Abstract

In 63 cases of clinical definite or suspected MS we compared the results of CSF analysis, VEP, BAEP, CT scanning without and after double dose contrast, in 17 cases also those of MRT. We found that CSF analysis had the highest rate of abnormal findings, followed by MRT. VEP and CT with double dose contrast showed similar sensitivity, while BAEP and CT without contrast had disappointing results. We think that CT with delayed scanning after double dose contrast can be a very useful investigation in early and doubtful cases of MS, until MRT will become a more widespread and less expensive investigation.

摘要

在63例临床确诊或疑似多发性硬化症(MS)的病例中,我们比较了脑脊液分析、视觉诱发电位(VEP)、脑干听觉诱发电位(BAEP)、普通CT扫描及双倍剂量造影剂增强CT扫描的结果,17例患者还进行了磁共振成像(MRT)检查。我们发现,脑脊液分析异常结果的发生率最高,其次是MRT。VEP和双倍剂量造影剂增强CT扫描显示出相似的敏感性,而BAEP和普通CT扫描的结果令人失望。我们认为,双倍剂量造影剂增强后延迟扫描的CT检查,在MS的早期和疑难病例中可能是一种非常有用的检查方法,直到MRT检查变得更加普及且费用更低。

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