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颅内压增高导致儿童临界性脑肿胀的可能的其他 MRI 标志物?

Possible additional MRI markers for critical brain swelling with increased intracranial pressure in children?

机构信息

Edward B Singleton Department of Radiology, Texas Children's Hospital and Baylor College of Medicine, USA.

Department of Radiology, Children's Hospital of Philadelphia, University of Pennsylvania, USA.

出版信息

Neuroradiol J. 2021 Dec;34(6):642-645. doi: 10.1177/19714009211019381. Epub 2021 May 28.

Abstract

A retrospective study was performed evaluating the volume and T2/T1 signal intensity of orbital fat in five children diagnosed with severe global brain swelling and confirmed cessation of cerebral perfusion. Imaging showed a volume increase (five of five) and a heterogeneous T2-hypointensity of orbital fat (four of five). This preliminary study suggests that swelling and T2-hypointensity of orbital fat may be a marker of global brain swelling and/or increased intracranial pressure.

摘要

一项回顾性研究评估了五名被诊断为严重全脑肿胀且确认脑灌注停止的儿童的眶脂体积和 T2/T1 信号强度。影像学显示眶脂体积增加(五例均增加)且 T2 低信号不均(四例均不均)。这项初步研究表明,眶脂肿胀和 T2 低信号可能是全脑肿胀和/或颅内压增高的标志。

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本文引用的文献

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Brain death: Radiologic signs of a non-radiologic diagnosis.脑死亡:非放射学诊断的放射学征象
Clin Neurol Neurosurg. 2019 Oct;185:105465. doi: 10.1016/j.clineuro.2019.105465. Epub 2019 Aug 12.
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Brain Death: Diagnosis and Imaging Techniques.脑死亡:诊断与成像技术
Semin Ultrasound CT MR. 2018 Oct;39(5):515-529. doi: 10.1053/j.sult.2018.01.006. Epub 2018 Mar 2.
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The Role of Neuroimaging in the Determination of Brain Death.神经影像学在脑死亡判定中的作用
J Neuroimaging. 2018 Jul;28(4):374-379. doi: 10.1111/jon.12516. Epub 2018 May 11.
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Orbital vascular anatomy.眼眶血管解剖结构。
Eye (Lond). 2006 Oct;20(10):1130-44. doi: 10.1038/sj.eye.6702377.

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