Mossard J M, Kraenner C, Germain P, Bareiss P, Chambron J, Sacrez A
Service de Cardiologie, CHU de Hautepierre, Strasbourg.
Ann Cardiol Angeiol (Paris). 1988 Jan;37(1):27-30.
Two cases of myxedematous pericardial effusions studied by magnetic resonance imaging (MRI) are reported. After a reminder of the place of pericardial involvement in this disease, the advantage of MRI which provides original semiologic factors on the analysis of topographic extension and on the approach of the cellular characteristics of the effusion, is presented. Concerning the latter, difficulties of interpretation and current imprecisions are discussed but we will especially remember the advantage of this recent technique in the diagnosis of an effusion, even moderate, in hypothyroidism, mainly in patients with poor sonographic response.
报告了两例通过磁共振成像(MRI)研究的黏液性水肿性心包积液病例。在提醒心包受累在该疾病中的地位后,介绍了MRI的优势,它在分析地形扩展和积液细胞特征方面提供了原始的影像学因素。关于后者,讨论了解释的困难和当前的不精确性,但我们尤其要记住这种最新技术在诊断甲状腺功能减退症中即使是中度积液时的优势,主要是在超声检查反应不佳的患者中。