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围产期基孔肯雅热脑炎患儿的纵向脑磁共振成像。

Longitudinal brain magnetic resonance imaging of children with perinatal Chikungunya encephalitis.

机构信息

Department of Radiology, Clínica de Diagnóstico por Imagem (CDPI)/DASA, Brazil.

Department of Radiology, Hospital Universitário Antônio Pedro, Brazil.

出版信息

Neuroradiol J. 2020 Dec;33(6):532-537. doi: 10.1177/1971400920959070. Epub 2020 Sep 21.

Abstract

Chikungunya virus can be transmitted perinatally leading to serious neurological sequelae. We report the longitudinal evolution of the brain magnetic resonance imaging aspects of three cases of mother-to-child Chikungunya virus transmission. The first magnetic resonance imaging scan presented brain cavitations, with or without corpus callosum diffusion restriction. Follow-up scans showed reduction in the volume of cavitations, with resolution of the restricted diffusion. However, one patient presented with a normal brain magnetic resonance image, despite the delay in neurocognitive development.

摘要

基孔肯雅病毒可经围产期传播,导致严重的神经后遗症。我们报告了三例母婴基孔肯雅病毒传播病例的脑磁共振成像表现的纵向演变。首次磁共振成像扫描显示有空洞形成,伴或不伴有胼胝体弥散受限。随访扫描显示空洞体积缩小,弥散受限缓解。然而,尽管存在神经认知发育迟缓,仍有 1 名患者的脑磁共振图像正常。

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