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磁共振波谱与磁共振灌注成像在脑梅毒瘤中的应用:一例报告

The Application of MR Spectroscopy and MR Perfusion in Cerebral Syphilitic Gumma: A Case Report.

作者信息

Cui Linyang, Liu Jie, Zhang Wenjun, Xu Zushan, Hou Hongjun

机构信息

Department of Radiology, Weihai Central Hospital, Weihai, China.

出版信息

Front Neurosci. 2020 Oct 21;14:544802. doi: 10.3389/fnins.2020.544802. eCollection 2020.

DOI:10.3389/fnins.2020.544802
PMID:33192243
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7609909/
Abstract

Cerebral syphilitic gumma is a rare disease and can be misdiagnosed as a common brain tumor when only conventional imaging results are adopted. Differentiating between syphilitic gumma and tumors may be achieved by applying advanced magnetic resonance (MR) techniques, such as MR spectroscopy and MR perfusion. However, the MR perfusion characteristics of cerebral syphilitic gumma have not been reported yet. Here, we report a case of cerebral syphilitic gumma in a 52-year-old woman and discuss the imaging features of conventional MR, MR spectroscopy, and MR perfusion. The results suggest that the application of MR spectroscopy and MR perfusion could provide additional information that contributes to the diagnosis of cerebral syphilitic gumma.

摘要

脑梅毒瘤是一种罕见疾病,仅采用传统影像学检查结果时,它可能会被误诊为常见的脑肿瘤。应用先进的磁共振(MR)技术,如磁共振波谱成像和MR灌注成像,可能有助于鉴别梅毒瘤和肿瘤。然而,脑梅毒瘤的MR灌注特征尚未见报道。在此,我们报告1例52岁女性脑梅毒瘤病例,并探讨传统MR、磁共振波谱成像和MR灌注成像的影像学特征。结果表明,磁共振波谱成像和MR灌注成像的应用可为脑梅毒瘤的诊断提供额外信息。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e06/7609909/15d8634876db/fnins-14-544802-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e06/7609909/09fa1dae1733/fnins-14-544802-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e06/7609909/0da62466a235/fnins-14-544802-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e06/7609909/15d8634876db/fnins-14-544802-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e06/7609909/09fa1dae1733/fnins-14-544802-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e06/7609909/0da62466a235/fnins-14-544802-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e06/7609909/15d8634876db/fnins-14-544802-g003.jpg

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本文引用的文献

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Exp Ther Med. 2019 Dec;18(6):4185-4192. doi: 10.3892/etm.2019.8089. Epub 2019 Oct 8.
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Neurosyphilis.神经梅毒
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Contribution of advanced neuroimaging in diagnosis of cerebral syphilitic gumma: a case report.先进神经影像学在脑梅毒瘤诊断中的作用:一例报告
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Cerebral Syphilitic Gumma Misdiagnosed as a Malignant Brain Tumor.被误诊为恶性脑肿瘤的脑梅毒瘤
J Craniofac Surg. 2017 Mar;28(2):e170-e172. doi: 10.1097/SCS.0000000000003191.
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A case of a cerebral syphilitic gumma developed in a few months mimicking a brain tumor in a human immunodeficiency virus-negative patient.一名人类免疫缺陷病毒阴性患者在几个月内发生了1例脑梅毒瘤,酷似脑肿瘤。
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